Dr. Walter Zamarian Jr.

More than 90% of the surgeries I perform today are deep plane facelifts with fat grafting — three a week, around 150 a year, by deliberate choice. The pairing is the point: the deep plane repositions the facial structures that have descended, releasing the retaining ligaments and mobilizing the SMAS so tissue moves without tension on the skin — tension is what creates the operated look. Micro- and nanofat grafting restores the volume that time has taken away; I keep the cannula in constant motion, placing microdroplets across multiple planes, because respecting the tissue is what makes a graft predictable. The neck is treated in the same deep plane session whenever indicated, and eyebrow position and the lip are addressed within the facelift itself when they need it — not sold as separate operations. The goal is a face that looks rested, not different: people should think you changed your hair or finally slept well — never that you had surgery.

I ask international patients to plan a minimum of fifteen full days in Londrina: two days before surgery for the in-person consultation and final preoperative checks, the day of surgery, and twelve days after, when I follow the early healing personally. Routine follow-up visits are included in the surgical fee — recovery is not outsourced. Swelling and bruising peak in the first days and improve steadily; most patients feel socially presentable in two to three weeks, with residual swelling settling over the following months. I would rather stage procedures than stack them into one long operation: shorter surgeries recover better and more safely, and I say no to combinations that would compromise that.

A good candidate has what the deep plane actually treats: structural descent of the deep facial tissues — jowls, a blurred jawline, deepened folds, sagging in the neck — usually combined with the volume loss of facial aging, which is why I operate the two together. In consultation I evaluate the whole face, the medical history and, above all, the expectations; every patient goes through complete preoperative testing, including laboratory work and cardiac evaluation. I prioritize adequacy over volume: not everyone who wants a facelift is a good candidate, and I decline surgery when it is not the right answer or when expectations cannot honestly be met. Honoring my father's legacy, I would rather do a few procedures with mastery than many superficially — the natural result must preserve each patient's identity.

The procedure price list on this profile shows my reference fees. The base lifting excludes facial fat grafting; facial fat grafting is an optional add-on, and the combined cost is the sum of the two entries. These references assume payment in full upfront with the maximum discount. Their dollar equivalents use an illustrative exchange rate of five Brazilian reais per US dollar; quotes are issued in Brazilian reais. The standard surgical price includes the operation, anesthesia team, facility and routine follow-up visits. Blepharoplasty, brow elevation and lip lift are included within the lifting when indicated. Hand fat grafting remains a separate add-on during the same surgery. For fat grafting as an isolated procedure, please ask for a quote. The first consultation is paid once, online or in person; if we start online, the in-person consultation in Londrina has no additional cost. Booking a surgery date takes a 10% deposit. Quotes are valid for 30 days. The dollar figures are planning references, not fixed dollar quotes: if one dollar buys more reais, the dollar equivalent falls, provided the reais price stays the same. The final surgical plan, payment terms and applicable exchange rate are confirmed in the written quote. Flights, accommodation and other travel expenses are separate.