Consultation with creation of treatment plan in Dr. Marcio Littleton

Dr. Marcio Littleton is a plastic surgery clinic in Rio de Janeiro, Brazil. The practice focuses on aesthetic and reconstructive plastic surgery. Specialists combine technical precision with artistic harmony in their work. The clinic operates from a single facility and maintains an international presence through surgical work in Europe.

Accreditations and Professional Standings

The clinic holds TEMOS accreditation, signaling a commitment to international medical standards. Dr. Marcio Littleton is a member of several professional organizations:

• Sociedade Brasileira de Cirurgia Plástica
• Société Monégasque de Chirurgie Plastique et Esthétique
• World Professional Association for Transgender Health (WPATH)

The surgical team includes three doctors. Their specialties are registered with the Conselho Federal de Medicina and officially recognized in Spain and Portugal.

Intimate and Reconstructive Surgery

The clinic specializes in genital feminine surgery and functional corrections of the vulva. Specialists treat conditions such as clitoral hypertrophy and ambiguous genitalia (intersex). Reconstructive procedures often address complex cases like vaginal agenesis – the congenital absence of the vagina.

For vaginal reconstruction, the team uses the Jejunal Miomucosal Graft technique. This method creates a neovagina with a double layer of muscle and mucosa, so it stays naturally moist and elastic. The clinic performs several specialized intimate procedures:

• Vaginoplasty for tightening and rejuvenation
• Ninfoplasty (reduction of the labia minora)
• Himenoplasty (hymen reconstruction)
• Clitoroplasty for aesthetic or functional needs
• Perineoplasty to repair the perineal area

Himenoplasty patients can typically resume sexual activity between the second and fourth week after surgery. Vaginoplasty may be performed under local anesthesia with sedation. This approach requires a 24-hour hospital stay.

Transgender Health and Gender-Affirming Care

The clinic provides gender-affirming surgeries within a dedicated transgender health program. For Male-to-Female cases, surgeons perform transgenitalization using advanced neocolpovulvoplastia techniques. These procedures aim for natural functional results. Female-to-Male (FTM) patients can access several surgical options:

• Definitive metoidioplasty
• Preparatory metoidioplasty to prepare for a neofallo
• Neofaloplastia with a scar positioned on the waist line

Transgenitalization surgeries typically require an operating time of 9 hours. Patients stay in the hospital for at least 5 days. The clinic recommends a total stay of 21 days in Rio de Janeiro for full monitoring.

Aesthetic Medicine and Body Contouring

The practice offers a range of facial and body enhancement procedures. Surgeons perform breast augmentation, reduction, and reconstructions. During consultations, patients use specially developed fittings to test different implant volumes. This helps determine the best proportions before surgery.

Most breast surgeries require one night of hospitalization. Patients can usually resume daily activities within 48 hours. Stitches are typically removed between the 7th and 10th day. Swelling generally resolves by the fifth week.

Non-surgical options include Botox for gummy smile correction. This procedure takes only a few minutes and lasts between 3 and 6 months.

Services for International Patients

Dr. Marcio Littleton maintains an international orientation with regular surgical seasons in Europe. Consultations and procedures take place in cities like Lisbon and Milan. The team offers medical support in English, Spanish, and Portuguese, so patients traveling from abroad can communicate clearly.

For surgeries in Brazil, the clinic provides hospital lodging options. These packages include meals and daily support from a specialized team. Nurses, nutritionists, and on-call doctors monitor patients throughout their stay. The clinic also includes post-operative medications in these arrangements. Patients handle their own transportation and lodging outside of the hospital stay.