CPA – Plastic Surgery Avançada is a specialized medical practice in Rio de Janeiro, Brazil. Established in 2004, the clinic is led by Dr. Alexandre Charão. It focuses on advanced body contouring and aesthetic transformations for local and international patients.
Safety Standards and Clinical Achievements
The clinic operates within Hospital Glória D'Or, which holds Joint Commission International (JCI) accreditation. This means all surgeries take place in a hospital setting with annual safety evaluations. Since 2004, the practice has performed over 6,000 operations.
Clinical safety is tracked through large-scale benchmarking data. The practice references metrics from the TOPS Database, which analyzed 214,504 aesthetic procedures:
- 0.34% rate of unplanned readmissions
- 0.1% risk of severe systemic complications
- 0.74% global complication rate based on 42,720 outpatient surgeries
In 2006, the clinic received the Prêmio O Globo "Faz a Diferença" award. Its surgical techniques have also been featured by The Washington Post.
Body Contouring and Aesthetic Specialties
Dr. Alexandre Charão is an Associate Member of the Brazilian Society of Plastic Surgery (SBCP). He specializes in high-definition body sculpting and major aesthetic transformations. The practice uses standardized protocols for several core areas:
- High-Definition Liposuction: Uses VASER ultrasonic technology for precise fat removal and muscle etching.
- Advanced Abdominoplasty: Includes classic, circumferential, and diastasis-repair techniques to restore abdominal muscle structure.
- Breast Surgery: Offers mastopexy, augmentation, and explant surgery using the High Five system for precise implant selection.
- Post-Bariatric Sculpting: Full-body lifts and skin removal after significant weight loss.
- Gynecomastia Correction: Uses the 4Dx technique for four-direction fat removal and Argoplasma for skin tightening.
Specialists also perform masculinizing top surgery for transgender patients. They offer four surgical approaches based on breast volume and skin elasticity. Options range from periareolar techniques for minimal scarring to double-incision methods for larger tissue removal.
Specialized Medical Technologies
The clinic uses specific platforms to improve surgical precision and skin quality. VASER ultrasonic liposuction targets fat selectively while sparing blood vessels. For patients with loose skin, Argoplasma technology promotes tissue tightening after fat removal.
Intramuscular fat grafting creates muscle volume without synthetic implants. This technique uses ultrasound guidance to inject the patient's own fat into the pectoral or deltoid muscles. For breast procedures, the practice follows the R24R (Real 24 Recovery) protocol to speed return to daily activities.
Structured Preparation and Recovery Protocols
Every surgical plan begins with metabolic preparation. This individualized nutrition and supplementation plan optimizes health before surgery. It reduces surgical risks and improves how long results last.
Post-operative care follows the Method 3R protocol. It targets fast recovery, minimal discomfort, and fine scar healing. Patients typically return to light activities within 7 to 10 days.
International patients receive support through several dedicated services:
- Teleconsultations with Dr. Alexandre Charão and his medical team
- Direct recovery support via an exclusive WhatsApp group for each patient
- Consultations available in Portuguese, English, and Spanish
The practice partners with an endocrinologist to help patients meet safety criteria before major surgeries. This is especially important for combined procedures like the "Mommy Makeover."
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