After graduating, he completed his residency in Plastic Surgery at one of the most renowned hospitals in Brazil, Irmandade de Santa Casa de Sao Paulo, and became a specialist in Plastic Surgery by the Brazilian Society of Plastic Surgeons. While in Brazil Dr. Decio Carvalho MD went into private practice, but his dedication to those in need and his passion for improving lives through plastic surgery lead him to perform pro-bono breast reconstructions at the Cancer Hospital in Londrina, Brazil. After moving to the United States, Dr. Decio Carvalho MD completed a surgical residency at Jackson Memorial Hospital through the University of Miami and also completed a Post Doctoral Fellowship in Stem Cell Therapy at the University of Miami, Miller School of Medicine Stem Cell Institute.