Main Technique • Midface
Endomidface by Direct Vision
Midface rejuvenation with maximum safety. No endoscope, no equipment dependency, no minefield in faces with biostimulators.
212
Consecutive Cases
0%
Permanent Nerve Injury
7-10
Days to Social Return
8-12
Years of Durability
Endomidface by Direct Vision is the technical answer to a modern problem: how to operate safely on faces that have already been treated with biostimulators? The technique abandons the endoscope — not from rejection of technology, but from evolution. Direct vision means seeing and feeling at the same time, in the same plane, without hand-eye dissociation.
Developed over 18 years and validated in more than 1,500 facial surgeries, the technique works in the pre-zygomatic and pre-maxillary spaces, repositioning the malar block with a vertical vector — lifting against gravity, not pulling backwards.
What Makes Endomidface Unique
Direct Vision
No endoscope. Simultaneous visual and tactile feedback. You see AND feel at the same time.
Safety in Injected Faces
Bypasses the fibrosis zone of the lateral fixed SMAS. Ideal for the 90% of faces with biostimulators.
Reduced Learning Curve
15-30 cases for safety, not 50-100. Systematic and reproducible method.
Accelerated Recovery
Social return in 7-10 days. Less trauma, less edema, less downtime.
The Problem Endomidface Solves
Traditional Deep Plane was developed for native faces — without biostimulators, without hyaluronic acid, without years of repeated fillers. Today, 90% of the faces we operate on have biostimulators in the lateral fixed SMAS.
This creates a "minefield": dense fibrosis, altered planes, increased risk of nerve injury. Deep Plane needs to cross this zone. Endomidface bypasses it.
The Safe Route
- Superior access: through the intracapillary Browlift incision
- Entry into mobile SMAS: anteriorly, not laterally
- Bypasses fibrosis: avoids the lateral fixed SMAS where biostimulators are located
- Works in safe spaces: pre-zygomatic and pre-maxillary
Explore in Depth
Definition & Concept
What it is and why it was developed
Indications
Who is Endomidface ideal for
Applied Anatomy
Pre-zygomatic and pre-maxillary spaces
Vectors & Fixation
Traction direction and anchoring points
Conceptual Step-by-Step
Logical sequence of the procedure
Common Errors
What to avoid and how to correct
Limitations
What Endomidface does not correct
Expected Results
Benefits and durability
"Endomidface is not a new technique — it's the natural evolution for the reality of modern faces. When 90% of patients have biostimulators, you need a different route."
Endomidface Course
Complete training in the technique, from concept to practice, with mentorship and post-course support.
View program →Applied Anatomy
Understand the anatomical foundations that make Endomidface possible and safe.
Study anatomy →