The Modern Rejuvenation Dilemma
We live in the age of fillers. Hyaluronic acid, biostimulators, facial harmonization — the promise of rejuvenation without a scalpel is seductive. And for many patients, it works very well… for a while. The problem arises when fillers reach their limits. When increasing volumes are needed. When the face starts looking “swollen” but still aged. When structure is sagging and no amount of volume will fix it. This is where advanced techniques like [Endomidface and Deep Neck offer real structural solutions.
“Fillers add volume. Facelift repositions structure. They’re different tools for different problems — and often complementary.”
- — Dr. Robério Brandão
Direct Comparison
Aspect Fillers Facelift
Mechanism Adds volume Repositions tissues
Corrects ptosis? No (camouflages) Yes (resolves)
Duration 6-24 months 8-12 years
Recovery Minimal (days) 2-3 weeks
Single cost Lower Higher
10-year cost High (repetitions) Moderate (single)
Reversible? HA yes, others no No
Naturalness Depends on volume Depends on technique
When Fillers Are Sufficient
✅ Good Indications for Fillers
• Isolated volume loss — flat malar, hollow temples, without significant ptosis
• Mild to moderate grooves — early nasolabial or tear trough
• Young patients (30-45) — with early aging
• Not surgical candidates — by preference or contraindication
• Post-facelift maintenance — complement in specific areas
When Facelift Is the Best Option
🎯 Indications for Facelift
• Significant tissue ptosis — descended malar, jowl, platysmal bands
• Increasing filler volumes — without satisfactory lasting result
• Loss of structural definition — jawline, cervicomental angle
• “Swollen but old” appearance — sign of excess volume
• Desire for lasting result — patient tired of repeating procedures
Frequently Asked Questions
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