The Equipment Myth
There’s belief that excellent facial surgery results require heavy technology investments. Video-endoscopy towers, 4K cameras, special lighting systems — all can cost hundreds of thousands of dollars. Truth is equipment doesn’t operate. Surgeon operates. And best “technology” remains human eye combined with skilled hands and deep anatomical knowledge.
“Video towers don’t make better surgeons. Knowledge, technique and practice do. Equipment is tool, not end.”
- — Dr. Robério Brandão
Cost of Technology Dependence
💰 Endoscopic Equipment Investment
- • Complete video tower: $80,000 - $200,000
- • Facial endoscopes: $15,000 - $40,000 each
- • Annual maintenance: $10,000 - $25,000
- • Camera replacement: $30,000 - $60,000
- • Depreciation time: 5-7 years Total in 5 years: $150,000 - $400,000+ This investment creates significant entry barrier, limiting advanced technique access to few centers. Additionally, creates dependence — if equipment fails, surgery stops.
Alternative: Direct Vision
[Endomidface by Direct Vision represents different philosophy: use surgeon’s natural ability to see and feel, enhanced by strategic accesses and adequate lighting.
✓ What you need for Endomidface
- • Frontal light or adequate room lighting
- • Conventional dissection instruments
- • Appropriate retractors
- • Standard suture material
- • Technical knowledge (most important) Additional investment: practically zero if you already operate
Comparison: Direct Vision vs. Video-endoscopy
Aspect Video-endoscopy Direct Vision
Investment $150k-400k Standard instruments
Vision 2D on monitor Natural 3D
Tactile feedback Indirect Simultaneous
Dependence High (equipment) Zero
Portability Limited Total
Learning curve Long Moderate
Knowledge Democratization
Greatest advantage of Direct Vision technique isn’t just economic — it’s access democratization. Any well-trained surgeon can execute technique in any adequate surgical center.
This means:
- • More surgeons can offer excellent results
- • Patients in more regions have access to advanced techniques
- • Focus returns to where it should: knowledge and skill
- • Fewer barriers to starting facelift practice
Frequently Asked Questions
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