Belvivere House is the clinical base for consultation, planning and follow-up; surgery is performed at Hospital São José. Understanding this distinction helps international patients evaluate who is responsible for each stage of care and what support is available.

What happens at Belvivere House?

The clinic is where the surgical journey is designed and followed. An initial remote consultation may help determine whether an in-person assessment is appropriate, but the definitive plan is confirmed after physical examination in Brazil.

StageMain purpose
Remote consultationDiscuss concerns, medical history, previous procedures and whether travel for assessment is reasonable.
In-person evaluationExamine anatomy, facial movement, skin, ocular health and previous injectables; refine or change the preliminary plan.
Preoperative preparationReview tests, medications, nicotine, GLP-1 drugs, weight stability, consent and recovery arrangements.
Hospital surgeryPerform the agreed operation with anesthesia, monitoring and hospital recovery.
Follow-upMonitor healing, manage dressings and symptoms, and decide when travel and activity are appropriate.

Individualized facial-surgery planning

Dr. June Favarin’s facial-surgery planning begins with the cause of the visible change—not with a fashionable technique. Brow descent, eyelid skin, true ptosis, midface descent, jowls, neck anatomy, volume loss and skin quality are assessed separately. Options may include Hybrid Blepharoplasty, video-assisted brow or midface surgery, Deep Plane facelift, Neck Lift, Deep Neck and carefully planned fat grafting.

Not every region needs treatment, and no technique is universally superior. Preserving orbicular function, facial expression, anatomical support and recognizable identity is more important than applying the same operation to every patient.

Previous fillers and other procedures

Patients should provide a complete history of hyaluronic-acid fillers, biostimulators, threads, permanent products, energy devices and previous surgery. When the product or anatomical plane is uncertain, dermatologic ultrasound may support planning. Hyaluronidase is selective: it may act on hyaluronic acid, but it does not dissolve PMMA, silicone, biostimulators or fat.

Clinic support and hospital care are different

Consultations and longitudinal follow-up occur through Belvivere; operations take place at Hospital São José. Hospital resources reduce avoidable gaps in care but cannot guarantee an uncomplicated course. Risks vary with the operation and may include bleeding, infection, nerve symptoms, eye irritation, delayed healing, scars, asymmetry and anesthesia-related complications.

Support for patients traveling to Brazil

  • Remote orientation before booking travel.
  • Coordination of evaluation, tests and postoperative appointments.
  • Logistical assistance with accommodation and local transportation.
  • Clear instructions about an accompanying adult and warning signs.
  • Remote continuity after the patient is cleared to return home.

For major facial surgery, Belvivere generally plans at least 15 days in Brazil, individualized to the procedure and recovery. Concierge support can reduce logistical friction, but it does not replace medical observation or emergency care.

What distinguishes responsible care

The meaningful difference is not a superlative such as “premier” or “best.” It is a process: understand the face before changing it, select only indicated procedures, operate in an appropriate setting and maintain access to the team throughout recovery.