First, I listen.
Tell me what you notice, what you hope to change, and what you do not want to lose. You do not need to describe your concerns in medical terms. The words you choose help me understand what the decision means to you.
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Meet Dr. Z
Before you choose a surgeon, get to know the person.
Reading about a facelift can help you understand a procedure. Choosing the person who will operate on your face asks something more personal of you. You want to know whether you will be heard, how recommendations are made, and what happens when you have a question after surgery.
I want this introduction to help you picture that relationship. My name is Walter Zamarian Jr. I am a plastic surgeon based in Londrina, Brazil, and facial surgery is the focus of my work today. I see patients in Portuguese, English, Spanish, French, and Italian. If you live abroad, our conversation can begin by video before you travel.
My Brazilian professional registrations are CRM/PR 17.388 and RQE 15.688. Beyond those details, I would like you to understand the choices behind the way I practice.
My training, in my own words
A short introduction to my training
In this video, I talk about my training in my own words. It provides a starting point for the story I want to share here: how the experience of learning became a way of looking after people.
I studied medicine and completed general surgery training at the State University of Londrina. My plastic surgery training took place at the Ivo Pitanguy school in Rio de Janeiro.
What stayed with me
I remember what it felt like to be welcomed.
During my training in Rio de Janeiro, I met teachers who had known my father, who was also a plastic surgeon. Their warmth gave me a sense of belonging in a new environment. It is a memory I carry into my own consultations.
When I returned to Londrina in 2004, I began building my own practice. I wanted someone coming through the door to feel that there was room for their story, not simply a procedure to discuss. For a patient arriving from another country, that welcome matters before the examination even begins.
The focus of my work
Facial surgery became the center of my practice.
Today, facelifts account for more than 90% of the operations I perform. That reflects a deliberate direction in my own practice: concentrating my attention on facial rejuvenation and the planning behind each case.
I do not look at a face as a collection of separate features to change. I consider how those features relate to each other and listen to what matters to you. Your priorities may be different from the detail that first catches my eye. Understanding that difference is part of the consultation.
Then, I examine.
An individual examination connects our conversation with your anatomy. It allows me to explain what an operation may address, where its limits lie, and why I would or would not recommend a particular step.
Finally, I explain the plan.
You should be able to understand my reasoning. I discuss the proposed procedures, their limitations, and the preparation and recovery they involve. A plan is useful only if we can talk about it clearly.
My philosophy in surgery
Precision begins before the operating room.
My perfectionism keeps me looking for ways to improve. I map the face carefully and build a detailed surgical plan, then work through the details that may contribute to the change we have discussed.
I have a personal motto: “Perfect always, fast when possible.” It describes the care and attention I expect of my work, not a promise of a perfect result. I do not promise that surgery can reproduce a photograph or remove every sign of aging. Being exacting about my work also means being honest about what surgery cannot do.
Continuing to learn is part of that responsibility. At meetings in the United States and Canada, I followed presentations by Tim Marten on fat grafting and Mike Nayak on deep plane surgery. Their work contributed to my study of facial surgery. I bring that willingness to question and refine my approach back to the consultation and the operating room.
A conversation across borders
You can tell me your story in your own words.
Working with international patients began during my training and continues in my practice. I speak Portuguese, English, Spanish, French, and Italian. Speaking directly with me gives us space for the details that can be difficult to convey: a concern about looking unfamiliar, a question you have hesitated to ask, or a practical worry about recovering far from home.
The video consultation is a way to begin that conversation. It is a preliminary assessment, followed by an in-person examination before surgery in Londrina. My team helps coordinate the appointments and the practical arrangements around your visit.
Beyond the operating room
The operation is one part of the care.
The attention I bring to planning should also be present in the way I explain and follow up. I want you to feel comfortable asking me to go over something again. A question does not have to be complicated to deserve an answer.
After surgery, scheduled reviews let me follow your progress and discuss what comes next. For patients who return abroad, some later appointments can take place online when appropriate. That does not replace an examination when one is needed, but it helps us maintain contact through the first year.
Explore your patient journey →
Dr. Walter Zamarian Jr.
Plastic surgeon · CRM/PR 17.388 · RQE 15.688
Your story comes next
Now I would like to hear about you.
My story gives you an introduction. Your concerns give our consultation its direction. Tell me what brought you here, what you are hoping for, and what you still need to understand before making a decision.