- Rhinoplasty and Facial Surgery in Loja and Quito, Ecuador
Harmonious and natural results, aligned with your identity
An approach based on science, technique, and personalized care: from diagnosis to recovery.
Graduated from USP, recognized as the best university in Latin America, and mentored by Dr. Nakamura, one of the most prominent surgeons in the world.
Plastic surgery specialist
It starts with an accurate assessment.
An approach based on science, technique, and personalized care: from diagnosis to recovery.
Graduated from USP, recognized as the best university in Latin America, and mentored by Dr. Nakamura, one of the most prominent surgeons in the world.
01 — Before talking about investment, it is necessary to understand your case
Each patient has different characteristics, needs, and goals. Therefore, there is no single cost or standardized plan.
During the appointment, aspects such as the following will be evaluated:
Your anatomy and your needs
The correct medical indication for your case
The complexity of the procedure
Possible results and limitations
The recovery process
Planning and the necessary investment
You won't just receive a quote. You will receive clarity to decide with total confidence.
02 — “What if I pay for the appointment and find out I can't have surgery?”
The appointment's sole purpose is not to confirm a surgery.
It exists to evaluate if the procedure is truly indicated, identify the best time to perform it, and guide you with complete honesty on the next steps.
Even if the surgery is not performed immediately, you will leave with:
A specialized medical assessment
A clearer understanding of your case
Expectations aligned with reality
Individualized indications
A plan to move forward with greater confidence
Knowing what is indicated — and even what is not — also protects you from hasty decisions and inappropriate procedures.
03 — An important decision deserves more than a quick answer about prices
Choosing to undergo surgery involves health, safety, expectations, and trust.
Therefore, the appointment was structured so that you have enough time, attention, and information to make a conscious decision, without pressure and without false promises.
The goal is not simply to recommend surgery. It is to understand what truly makes sense for you.
04 — What happens during the appointment?
- Detailed listening
- You will be able to explain your concerns, goals, fears, and expectations.
- Individualized assessment
- Your case will be analyzed thoroughly, considering your characteristics and needs.
- Definition of possibilities
- The most appropriate options will be presented, along with limitations and actual possible results.
- Personalized planning
- You will receive guidance on the procedure, recovery, care, and investment.
- Conscious decision
- At the end, you will have greater confidence to decide if you want to take the step and when the ideal time is.
Clinic with premium care
Complete infrastructure for your transformation
Transformed Patients
Get inspired by our results
Who is Dr. Alexander Rivas
Graduate of São Paulo University School of Medicine Clinics Hospital (HCFMUSP), one of the most prestigious medical training centers in Latin America, Dr. Alexander Rivas built his career based on academic excellence, technical rigor, and the continuous pursuit of improvement.
Specialist in aesthetic and reconstructive plastic surgery, he deepened his training through a fellowship in Facial Plastic Surgery and Rhinoplasty with Dr. Fernando Nakamura, an international reference and one of the most recognized names in contemporary facial surgery.
His work philosophy combines science, precision, and highly individualized surgical planning, respecting the anatomy, functionality, and identity of each patient. Each procedure is carried out with meticulous attention to detail, seeking elegant, natural, and lasting results.
More than transforming features, Dr. Alexander Rivas believes that true excellence lies in preserving the individuality of each face, providing results that inspire confidence, balance, and harmony.
Who is and who is not the individualized appointment with Dr. Alex
The appointment IS for those who...
- Desire a rhinoplasty or facial surgery planned with a focus on harmony, elegance, and naturalness, respecting your identity.
- Understand that an important surgical decision requires time, listening, and in-depth analysis.
- Value a medical evaluation performed with exclusive attention, science, precision, and without haste.
- Want to understand their real possibilities, technical limits, and achievable results before investing in surgery.
- Seek a sophisticated and safe transformation, aligned with their anatomy and self-confidence.
The appointment IS NOT for those who...
- Seek care through health insurance or prepaid medicine.
- Only want to know the price or request a quick quote, without undergoing a rigorous medical evaluation.
- Seek a quick, generic, or superficial appointment.
- Do not value anatomical and individualized planning as an essential part of safe facial surgery.
The same excellence and meticulous planning, in person or from the comfort of your home
Online Appointment
High-level diagnosis, no matter where you are. An experience focused on your comfort, where your case is meticulously studied with Dr. Alexander Rivas.
- High-level digital triage
- Meticulous facial study and individualized analysis
- Live video conference appointment
- Individualized surgical planning
- Team support to resolve your doubts
- In-person preoperative follow-up appointments already included before surgery
- Results simulation
In-Person Appointment
A meeting dedicated to meticulously understanding your desires and planning every detail of your surgery. Office in Loja and Quito, Ecuador.
- In-person appointment in Loja and Quito, Ecuador
- Detailed physical evaluation
- Facial analysis and study of similar cases for reference and expectation alignment
- Individualized surgical planning
- Priority on the agenda or surgical date reservation
- In-office simulation of possible results
Still have doubts?
Clarify all your concerns, understand your possibilities, and take the first step towards your surgery with complete confidence.