Patient Selection
Indications & Contraindications
Proper case selection is as important as the technique itself. Know the ideal profile and Endomidface limitations.
The Ideal Patient
Based on 200+ documented cases, Dr. Robério Brandão identified the profile that benefits most from Endomidface:
- Age range 45-50 years
- Moderate midface laxity
- Preserved skin quality
- Realistic expectations
Clinical Data
80%
of patients operated by Dr. Robério are in the 45-50 age range. This profile offers the best results.
Main Indications
Midface Laxity
Cheek ptosis, loss of malar projection, early nasolabial fold accentuation.
Lower Eyelid Changes
Vertically long lower eyelid, negative vector, mild to moderate scleral show.
Faces with Biostimulators
Patients with fixed lateral SMAS fibrosis. Superior access bypasses the risk zone.
Quick Recovery Desired
Patients who value minimal downtime and discrete intracapillary scars.
Absolute Contraindications
- ✕ Active smoking without prior pause (minimum 30 days)
- ✕ Severe skin excess in face and neck
- ✕ Jowls as main isolated complaint
- ✕ Total baldness (for associated frontoplasty)
- ✕ Essential blepharospasm
- ✕ Patients over 70 with severe skin redundancy
What Endomidface Does NOT Correct
- ✕Marked jowls — mandibular line laxity is not corrected
- ✕Significant cervical excess — flaccid neck requires associated Deep Neck
- ✕Severe mandibular ptosis — may require pre-auricular incision
"What's my profile today? Patients between 45-50 years, 80% of my volume. This approach works for this patient. Patients over 70 won't work because the SMAS is too redundant."