Dermatology in Brazil

Dermatology is a branch of medicine that focuses on health issues affecting the skin, nails, hair, and mucous membrane. It is a specialty with both surgical and medical aspects. A dermatologist can address cosmetic issues, which can help to rejuvenate the appearance of the skin, nails, and hair. Being a dermatologist requires a great depth of clinical knowledge, including the variety of internal health problems that may cause skin symptoms. Dermatologists can treat over 3,000 conditions. Some of the most common are acne, dermatitis and eczema, hair loss, nail problems, fungal infections, warts, vitiligo, and skin cancer.

Dermatology has a number of departments and specialties, including:

• Cosmetic Dermatology – dermatologists have been the leaders in cosmetic surgery. Many dermatologists are trained on the use of fillers, botulinum toxin, and laser surgery. Some dermatologists also perform blepharoplasty, liposuction, and facelifts. However, most dermatologists limit their cosmetic practice to minimally invasive procedures.
• Dermatopathology – this field is a joint specialty of dermatology and pathology. It focuses on the study of cutaneous diseases at molecular and microscopic levels. Dermatopathology can make a definitive diagnosis of various skin diseases, including melanoma.
• Trichology – this is the study of the hair and the scalp. This field of dermatology deals with diseases such as hair loss, scalp changes, hypertrichosis, and hair abnormalities.
• Immunodermatology – this filed specializes in immune-mediated skin diseases, such as bullous pemphigoid and lupus.
• Pediatric Dermatology – pediatric dermatologist specializes in the diagnosis and treatment of skin diseases in children, which include newborns and infants.

What does the Procedure Involve?

A range of medical and cosmetic procedures are used to manage issues affecting the skin, nails, and hair. Many skin conditions can be treated by medications and noninvasive procedures, while others may require more invasive approaches. The following are several dermatologic procedures:

• Cosmetic injections – cosmetic injections can temporarily address scarring, wrinkles, and reduced facial fullness. A dermatologist can inject botulinum toxic (Botox) or fillers, such as fat and collagen. The results may last for a few months before you need another injection.
• Chemical peels – this procedure is used to treat some types of acne, as well as sun-damaged skin. It can also treat other cosmetic complaints, such as lines under the eyes and age spots. During chemical peels, a chemical solution is applied to the skin. This chemical solution causes a layer of skin to peel off, revealing regenerated skin beneath it that is typically a lot smoother.
• Dermabrasion – this type of procedure uses a high-speed rotating brush to remove the top layer of the skin, which can help reduce the appearance of fine wrinkles and tattoos, scar tissue, and potentially precancerous areas of the skin.
• Cryotherapy – cryotherapy involves freezing skin lesions, usually with liquid nitrogen, to destroy the affected cells. It can be a quick treatment for a number of benign skin issues, such as warts.
• Hair removal or restoration – various methods can be used to address hair loss, such as hair transplants. On the other hand, dermatologists can use lasers to remove unwanted hair from the body.
• Excision of lesions – skin lesions may be cut away to prevent a disease from spreading, to improve symptoms, for cosmetic reasons, or to prevent reoccurring infection. Excision of lesions may be done under a local or general anesthetic.
• Laser surgery –can be used to treat a number of cosmetic problems or skin issues, such as warts, tumors, moles, scars, birthmarks, wrinkles, and unwanted tattoos.
• Tumescent liposuction – this procedure is used by dermatologists to remove fat. Large volumes of local anesthetic are injected into fatty tissue, then it is sucked from the body. Note that tumescent liposuction is performed to contour the body, not to treat obesity.
• Vein procedures – people with superficial leg veins, called spider veins, may want them removed. Several procedures can be done to remove them, but sclerotherapy is the most popular treatment. It involves injecting a special solution or a foam into the vein. The special solution and foam irritate the lining, causing the vein to become less noticeable or, in some cases, disappear completely.
• Skin grafts and flaps – missing skin can be restored using skin from other areas on the body. Dermatologists can also repair skin loss by making a flap of skin from a nearby area of the body. The flap of skin is then used to cover the damaged patch.
• Biopsies – a skin biopsy is usually needed to diagnose or rule out certain conditions.
• Mohs surgery – this procedure is a treatment for skin cancer. It involves removing layers of skin in order to get rid of cancerous cells. The removed skin layers are then examined under a microscope. Then, successive layers are removed until there are no more cancerous cells found in the skin.
• PUVA – Psoralen combined with ultraviolet radiation (PUVA) is a procedure to treat several skin diseases, such as vitiligo, dermatitis, and psoriasis. Psoralen is a drug that can make the skin more sensitive to radiation treatment.

How Long Should I Stay in Brazil?

Depending on the type of procedure you have, you may be able to leave the hospital on the same day or stay for several days. For noninvasive treatments, such as chemical peels and cosmetic injections, you should be able to leave the hospital on the same day and fly home within a couple of days. For invasive procedures, particularly to treat serious medical conditions, such as cancer, you may need to stay in the hospital for several days, and stay in Brazil for at least 10 to 14 days. Your surgeon and/or medical travel team will advise you on this matter.

What's the Recovery Time?

Recovery time will vary depending on the type of procedure you have, the reason why you have the procedure in the first place, and your general health. Your dermatologist will usually give you a detailed recovery timeline for each procedure. In general, recovery time for nonsurgical procedures is typically short and you should be able to resume your normal routine within a few days. For surgical procedures, it may take several weeks until you are allowed to return to your full daily activities.

What About Aftercare?

Your dermatologist will give you a set of instructions to care for yourself during the recovery period. The instructions will be different for each type of procedures, but they may include a diet plan, light exercises to follow, how to care for your surgical wounds or affected area, activities you can or cannot do, signs of complications to be aware of, and medication to take. It is important that you follow your dermatologist’s instructions closely in order to avoid complications and to obtain the best possible results.

Some cosmetic procedures may not be permanent, such as dermal fillers and Botox, so you will need to have regular treatments in order to maintain the results. For skin cancer treatment, you may need to attend follow-up checkups to ensure that cancer has not come back.

What's the Success Rate?

Experienced and skilled dermatologists will be able to deliver a high success rate and satisfactory results. However, every type of procedure carries some risk, which may include infection, swelling, bleeding, adverse reaction to anesthesia, and unsatisfactory results.

Are there Alternatives to Dermatology?

If you have any problems with your skin, going to a dermatologist is the only way to treat it. However, if the skin problem is caused by an underlying condition, your doctor or dermatologist will recommend you to see relevant doctors to treat it.

What Should You Expect Before and After the Procedure?

Before seeing a dermatologist, you may have a problem with your skin. You may not like the wrinkles on your face, or you may have a lesion that needs to be removed. After receiving treatment from a dermatologist, your skin problems should be addressed. You may be able to achieve your dream appearance, any disease you had before may be treated.

Dermatology in and around Brazil

About Brazil

Occupying the title of the largest country in South America, Brazil embraces a diverse population of over 209 million people. The nation is globally renowned for its passion for football (also referred to as soccer in some parts of the world) and their dynamic, flamboyant carnival traditions, boasting a vibrant mix of music, dance, and colorful attire.

In addition to its vivacious culture, Brazil is a sanctuary of spectacular natural beauty. The country nurtures some of the world's most stunning natural wonders, including the dramatic Iguacu Falls and the world's largest tropical rainforest, the Amazon Rainforest, teeming with diverse plant and animal species. One can't miss the landmark figurine of Christ the Redeemer in Rio de Janeiro that towers 98-feet high, becoming a symbol of Brazil's deep-rooted religious faith and an iconic sight that captures hearts worldwide.

Brazil offers more than 60 JCI-accredited facilities and is one of the leading destinations in the world for cosmetic surgery, with Dermatology procedures being especially popular. Doctors are often Western-trained and speak English on top of Portuguese and Spanish. Local accreditations include the Consortium of Brazilian Accreditation and the Brazilian Hospital Medical Quality Organization (ONA). Popular locations within Brazil include the capital Brasilia, Rio de Janeiro, Sao Paulo, and Curitiba.

Popular Parts of Brazil

• Rio de Janeiro is a combination of natural attractions and metropolis. It is known to be a party city that offers good times and an unforgettable experience. Lounge around in the world-famous beaches of Ipanema and Copacabana, sample Brazilian cuisine, hike the summit of Corcovado and see the high statue of Christ the Redeemer, dance in Rio Carnival, and see the spectacular views of Ipanema and Guanabara Bay from the Sugarloaf Mountain.
• São Paulo is the largest city in Brazil. It is a huge city that at first glance seems intimidating. It offers hundreds of museums, quirky urban art, delicious cuisine, lively nightlife, and intense cultural experience. Visit Avenida Paulista (Paulista Avenue), a street filled with shopping centers, parks, bars, restaurants, museums, theatres, and cultural spaces.
• Salvador is full of vibrant cultures. It is the heart of Brazil’s Afro-Brazilian community. The city’s charm lies in its pastel-colored neighborhood, centuries-old architecture, and freshly-cooked acarajé and completed with wild festivals and capoeira circles every night.
• Brasília is Brazil’s capital. It’s very modern with futuristic architecture that looks more like artworks than ordinary buildings. It’s a paradise for architecture buffs. Besides the architecture, the food and nightlife in this city is something that should not be missed.
• Manaus might be isolated in terms of location, but it’s actually a large city with a prospering industry and a rich culture. The city is also filled with natural beauty; green spaces, waterfalls, and ecological parks surround its colonial buildings. It is the gateway to the Amazon Rainforest.

Weather and Climate in Brazil

As a large country, the weather in Brazil varies from tropical in the north to temperate in the south. A large part of the country lies in the topics. Brazil is a year-round destination because it has a steady average annual temperature. The temperature rarely drops below 20 °C.

Winter in Brazil starts in May and ends in September. The weather remains tropical in the north with an average temperature ranging between 20 °C to 30 °C. In Rio de Janeiro, the temperature varies between 14 °C to 25 °C. However, the evenings usually feel a lot colder.

During this particular season, one can expect a fair amount of rainfall in Rio, leading to many wet and rain-soaked days. If you plan a visit at this time, it's wise to keep that in mind and prepare accordingly. In contrast, further inland, São Paulo experiences significantly cooler temperatures compared to Rio, reflecting the country's vast geographical expanse and diverse microclimates spread across its regions.

This temperature drop might require some warm clothing, especially during late evenings and nights. So, whether you wish to enjoy the rainy murmur in Rio or seek the cool retreat of São Paulo, there's something unique for every traveler in Brazil during this season.

The temperature in Rio rise between November and March, with the highest temperature of around 40 °C but with a thermal sensation of around 50 °C. The Rain rarely lasts long during these months. In the north of Brazil, the rainy season starts in December. March and May see the heaviest rainfall. It’s hot and humid with frequent rain throughout the year in the Amazon.

Getting Around in Brazil

The most popular international airports are Rio de Janeiro–Antonio Carlos Jobim International Airport (popularly known as Galeão International Airport) and São Paulo/Guarulhos–Governador André Franco Montoro International Airport. Both airports serve domestic and international flights to many cities around the globe. The airports mainly serve major airlines but there are budget airlines such as Norwegian Air UK. Tourists can take taxis, bus, train, or car rental from both airports to the city centers.

Brazil is really big, so there will be a lot of long-distance travel to get around the country. The easiest and fastest way to get from one city to another is by domestic flights. The only downside is that the tickets are very expensive. LATAM and GOL Airlines offer multi-trip tickets or air pass. The most economical option is to buy an air pass if you plan to visit a number of different cities.

Buses are popular in Brazil, servicing most areas of the country. The bus system is excellent and provides a comfortable and economical way of travel. Be aware that the distance can be really tiring and overwhelming; some trips can take over 40 hours. The buses are operated by hundreds of different private companies, but the price is standardized. The fare varies from 75 BRL to 240 BRL. There are luxurious buses too.

A good way to get around major cities like São Paulo and Rio is to use Brazil Metro (subway). The fares are around 3.50 BRL to 3.80 BRL. You can purchase rechargeable travel cards. The metro does not operate at night. Be sure to watch your belongings at all times when traveling on the metro.

Taxis run on a metered system, but if you travel a bit further out of town, you need to negotiate the price with the driver. It is best to phone for a taxi or pick one up at a taxi station and make sure to get into a licensed taxi. Ferries and other water travel are important in many parts of Brazil.

Tourist Visas in Brazil

Nationals of 72 countries and territories can enter and stay in Brazil for up to 90 days without a visa. In some cases, an identity document may be accepted instead of a passport. Citizens of other countries, including China and India, must apply for and obtain a visa before entering Brazil. It is recommended to contact the nearest Brazilian embassy or consulate for the most up-to-date visa information.

Brazil offers an electronic visa (e-Visa) for citizens of eligible countries. The e-Visa is valid for two years and allows multiple entries for stays of up to 90 days per year. Applicants can apply for the e-Visa online through the Brazilian government's website.

Additional Information

1. Local Currency: The official currency is the Brazilian Real (BRL). 1 USD will get you approximately 5.04 BRL.
2. Money & Payments: ATMs are widely available in Brazil and it is the easiest way of getting cash in big cities. ATMs in smaller towns usually don’t work for non-Brazilian cards. Credit cards (Visa and MasterCard) are accepted in numerous shops, restaurants, and hotels. It might be handy to always have cash with you, but always be extremely cautious. Tipping is optional for housekeepers, tip parking assistants 2 BRL, or more since they do not receive wages and depend on tips. Taxis do not expect tips. Restaurants usually include a 10% service charge in the bill.
3. Local Language: The official language is Portuguese. English is not widely spoken, especially outside Rio and São Paulo.
4. Local Culture and Religion: The largest religion in Brazil is Christianity with more than 60% of the population follows Roman Catholicism.
5. Public Holidays: Brazil celebrates major Christian religious holidays as well as Independence Day and Civil Servants Day. Festa Junina, Parintins Folklore Festival, and Oktoberfest are three of the biggest annual festival in the country.