Dr. Walter Zamarian Jr. is emerging as one of the leading specialists in plastic surgery for the face, nose, and intimate procedures in Brazil due to his excellent results. Following in his father's footsteps, Dr. Zamarian leads a team of professionals who serve patients from Londrina, Paraná, Brazil, and abroad.
Dr. Walter Zamarian Jr. has been recognized for his expertise in facial rejuvenation since his surgical training in the United States. He strives to help people achieve their desired beauty goals in a friendly and welcoming environment.
The Zamarian Clinic offers new and advanced technologies that can contribute to your procedure. The goal? To improve the profiles of patients, no matter what their objectives may be. The mission? To make your visit safer, so that you can undergo your plastic surgery in Londrina in the most effective and rewarding way possible.
After twenty years of performing all types of plastic surgery, Dr. Walter Zamarian Jr. specialized in those that stood out due to his best results. His focus has been on everything related to face and neck, nose, and intimate procedures, and the changes caused by aging. The chosen technique varies for each case.
The advent of facial harmonization with fat, combined with facelift to improve sagging, has greatly enhanced the quality and duration of results. As we age, we lose volume in our face, and this volume replenishment is of utmost importance for rejuvenation. Additionally, because fat is a precursor to stem cells, it has the property of rejuvenating the skin where it is grafted, alleviating many signs of aging. It is a surgery that turns back time, improving aspects that cause great discomfort, much to the appreciation of patients. The amount of skin removed in a facelift is only what is necessary for a natural result. The neck also deserves special attention, attenuating the bands of the platysma muscle, which aims to improve its contour.
The structured open rhinoplasty is a procedure that has produced good, captivating, and long-lasting results. Additionally, Dr. Zamarian performs the functional treatment of the nose during cosmetic nose procedures, addressing the nose comprehensively. Straightening and narrowing the dorsum, refining and improving the projection of the tip, correcting septal deviation, treating the turbinates, performing necessary grafts, and more – all of these are part of the comprehensive proportional nose treatment performed by Dr. Walter Zamarian Jr. What could be better than having an attractive nose that also functions well?
Dr. Zamarian went to the United States to learn the most modern techniques in intimate surgery, just as he did with facial and nasal surgeries. The most widely used technique for labiaplasty abroad, the wedge technique developed by Dr. Gary Alter, has produced excellent results. Dr. Zamarian performs this technique masterfully, having learned directly from its creator. Additionally, he performs other types of intimate surgery that few professionals do, such as reduction of the labia majora and reduction of the clitoris, placing Dr. Walter Zamarian Jr. among the few professionals in Brazil who perform all procedures associated with female intimate surgery. In all of these techniques, the incision is concealed, absorbable sutures are used, and the final healing process tends to be the best possible.
Dr. Walter Zamarian Jr. is a member of the ASPS (American Society of Plastic Surgeons) and the AExPI (Association of Alumni of Professor Ivo Pitanguy). He has worked at the Burn Units of the University Hospital of Londrina and the Andaraí Hospital in Rio de Janeiro. His clinic is one of the leading destinations in Londrina, Paraná.
He graduated in Medicine from the State University of Londrina, where he also completed a two-year residency in General Surgery. Dr. Zamarian Jr. gained an international perspective on plastic surgery during his three years of training under renowned surgeons from various countries in Rio de Janeiro, during his postgraduate studies at the Ivo Pitanguy Clinic and at the 38th Ward of the Santa Casa de Misericórdia in Rio de Janeiro. "I believe that my mission is not only to achieve improvement by correcting a defect, but also to maintain a balance between the mind and body," highlights Dr. Zamarian. In 2004, he moved back to Londrina, where he has been actively practicing.
Professor Ivo Pitanguy, by the way, was probably the most famous name in the field, leading a team of surgeons for years who worked to treat chronic diseases, reconstruct a body part, remove benign tumors, treat cancer, burns, congenital deformities, syndromes, breast reconstruction after mastectomy, as well as body contouring surgeries.
The term plastic is derived from the Greek word plastikos, which means to mold or change shape. There is no specific organ dedicated to plastic surgery, as it is performed to correct defects in various parts of the body. There is no comprehensive definition of plastic surgery, which can be divided into reconstructive or aesthetic surgery. Joe McCarthy once said that it is "a specialty that solves problems." However, we can go further.
Another more comprehensive definition was mentioned by a resident physician as "surgery of the skin and its contents." Since plastic surgery is not directed at a specific organ, it knows no boundaries, and the chosen technique varies according to each case. Thus, surgery is endowed with freedom, but at the same time, vulnerability. It is precisely this vulnerability that drives the surgeon to constantly pursue excellence in their areas of expertise, constantly seeking to improve their techniques and develop innovative approaches.
Plastic surgery is more based on principles than on specific procedure details. This allows the surgeon to address uncommon problems and perform surgery from the hairline to the tip of the toe, applying well-known procedures to various areas of the body, allowing for innovation.
No other specialty receives the same media attention as plastic surgery. At the same time, none is so poorly understood. Although the public perceives plastic surgery as primarily cosmetic, it has its roots in reconstructive surgery. Cosmetics are an important component of plastic surgery, but they are combined with the diverse possibilities of reconstructive surgery, as emphasized by Dr. Walter Zamarian Jr.
After years in second place, it happened as many had predicted: Brazil took the lead in the number of plastic surgeries worldwide. As the demand grows, so does the number of professionals. Today, there is approximately one plastic surgeon for every 44,000 inhabitants in the country. The data shows that there are more doctors with this specialization proportionally even compared to the United States, the country with the second-highest number of procedures. In the U.S., there is one specialist in the field for every 50,000 inhabitants.
The interest and demand for plastic procedures continue to increase year after year. To give you an idea of the phenomenon: in 2011, there were 905,000 plastic surgeries performed in Brazil. In 2013, the number rose to 1.49 million, accounting for nearly 13% of the global total. That's right. Through the hands of surgeons, many lives have been transformed, restoring self-esteem, femininity, self-confidence, finding peace with one's own body, and even reconstructing the marks of a not always happy history. And this has been happening for millennia, even before the time of Christ.
The earliest references found for reconstructive treatments date back to the period between 3,000 and 2,500 BC Egyptian papyri described the treatment of nasal fractures. The techniques for nasal reconstruction date back to 800 BCE. It was in India that they had the first experiences with Sushruta Samhita, the father of plastic surgery, who wrote the medical treatise bearing his name. In the document, he explained a traditional procedure for performing reconstructive surgery of the nose. His techniques for rhinoplasty crossed time and cultures. The instruments described in the Sushruta Samhita were modified and perfected in the Western world.
The Indian surgeon developed surgical techniques to reconstruct noses that were amputated as religious, criminal, or military punishments, which was common during that period. These techniques were also used to restore the noses of soldiers injured in battle.
In fact, wars motivated the development of new reconstruction techniques millennia later. We can say that the history of plastic surgery also has a strong connection with the history of post-war resilience in the early 20th century. Soldiers mutilated in World War I found a path to recovery and redemption through the hands of New Zealand doctor Sir Harold Gillies. It was in 1916 when he performed the first surgery on soldier Willie Vicarage, who had been shot in the face. As a pioneer of these transformations, Gillies is considered the father of modern plastic surgery. He restored harmony to many faces destroyed in combat, paving the way to heal the soul as well, by alleviating that physical pain.
Beauty is something humanity has sought to emphasize since ancient times. Even before the time of Christ, we find manifestations in the pursuit of beauty. Body paintings, necklaces, historical records of reconstructions: Indian physicians performed skin transplants and nasal reconstructions as early as the 8th century BC, a period when nose amputation was a punishment for certain crimes. These practices were further refined with the development of medicine and, most notably, the discovery of general anesthesia in 1846 by William T.G. Morton.
The fertile ground was set for plastic surgery to be born and captivate doctors and patients worldwide. The art of shaping and reshaping any area of the body is now performed on every continent, each respecting the culture and habits of each country.
Walter Zamarian Jr., M.D. is member of the Brazilian (SBCP) and American (ASPS) Societies of Plastic Surgeons.
Brazil holds the top position in the absolute number of plastic surgeries performed. Our country is the global leader in buttock implant surgeries (known as gluteoplasty), vaginal rejuvenation (intimate surgery), and surgery to correct protruding ears (otoplasty). In 2011, there were 55,746 intimate surgeries worldwide – with 9,043 of them performed in Brazil (over 16%). Speaking of buttock augmentation surgeries, there were 75,591 performed worldwide, with 21,452 in Brazil, representing 28% of the total.
However, the champion in national preference is still liposuction, which reshapes the body, followed by breast augmentation surgery with silicone implants. In 2011, there were 211,108 liposuctions and 148,962 breast augmentation surgeries. Another procedure that is gaining prominence here is blepharoplasty (eyelid surgery). In 2011, the number of surgeries using this technique reached 90,281.
Considering all the procedures combined worldwide, liposuction also takes the lead in preference, reaching up to 20% of all plastic surgical procedures and reaching a total of 1,268,287 procedures in 2011. The technique is relatively recent and can be associated with abdominoplasty, which involves removing excess skin from the abdomen. In Brazil, the first liposuction occurred in 1980, performed by French surgeon Yves Gerard Illouz, a pioneer of liposuction. During the procedure, 4 liters of localized fat were removed from the thighs. The first liposuction performed in the world dates back to 1978, performed, of course, by its creator, Dr. Yves Illouz, in France. Since then, millions of cosmetic surgical procedures involving liposuction have been performed, fulfilling the desires of many patients with excess localized fat.
Looking at individual countries, there are cultural curiosities. In China, for example, liposuction is also the most performed surgery, but the country leads in the number of rhinoplasties (nose surgeries). In 2011, 51,680 procedures modified this body segment in the Chinese population. Japan follows in second place with 46,599 nose surgeries. In the United States, the most sought-after surgery is breast augmentation, with 284,351 procedures of this nature performed in 2011. In France, breast augmentation also takes the first place with 41,484 procedures.
The technique of breast augmentation using silicone implants, with or without mastopexy, has now reached 50 years. The first woman to undergo this procedure was American Timmie Jean Lindsey in 1962.
All numerical data were extracted from a research conducted by the International Society of Aesthetic Plastic Surgery (ISAPS), involving the 25 countries where the most plastic surgeries are performed worldwide. The base year is 2011.
Since the first corrective surgery for facial abnormalities performed by Dr. Harold Gillies, many research studies have been conducted to refine the technique. Safety and results are two words that have always been present among specialists. One of the paths to achieve excellence has been and continues to be constant improvement, not only to restore the self-image that individuals have lost but also to ensure the best possible postoperative outcome.
This objective, in fact, was the main motivation behind the creation of the Brazilian Society of Plastic Surgery (SBCP) in 1948. Currently composed of approximately 5,200 plastic surgeons, it continues to pursue professional development and advocates for the procedure to be performed only by qualified professionals who have undergone years of study: 6 in medicine, 2 in general surgery, and 3 in plastic surgery.
In Brazil, it is not mandatory to be a plastic surgeon to perform surgery; being a medical doctor is sufficient. However, statistical data proves that the years of specialization make a difference not only in the final result but also in the safety of the procedure. Therefore, the caveat remains: it is recommended that patients seek a specialist who is a member of the Brazilian Society.
Thanks to the specific training of plastic surgeons combined with the emergence of new techniques, anesthesia methods, and modern and precise surgical instruments, plastic surgery has gained more safety over the years and has enabled successful transformations for patients dissatisfied with certain characteristics, aspects, or scars on their bodies.
Do you want to improve the aspect of your face, body or breasts? To know more about the state-of-the-art treatment Dr. Zamarian can perform on you, contact the Zamarian Clinic of Aesthetic Plastic Surgery, in Londrina, Paraná, Brazil, and schedule a consultation.
Cosmetic plastic surgeon in Brazil
Rua João Wyclif, 111, Sala 1702
Londrina - PR