Definition & Concept
What is Endomidface
Midface lifting through direct vision, without endoscope. A technical evolution combining safety, simplicity, and superior results.
Endomidface Direct Vision is a facial rejuvenation technique developed by Dr. Robério Brandão that elevates the midface through a minimally invasive temporal access, using direct amplified vision instead of endoscopic equipment.
The name "Endomidface" derives from "endo" (internal/deep) combined with "midface". Adding "Direct Vision" differentiates this technique from traditional endoscopic approaches, emphasizing that the entire procedure is performed under the surgeon's direct visualization.
The Problem It Solves
With aging, midface fat compartments descend due to gravity and weakening of retaining ligaments. This results in: accentuation of the nasolabial fold, cheek ptosis and loss of malar projection, vertical lengthening of the lower eyelid, and abrupt transition between eyelid and cheek.
The Direct Vision Principle
See to Protect
Direct vision allows identification and preservation of noble structures — nerves, vessels — in real time.
Operational Simplicity
No dependence on cameras, monitors, or equipment maintenance. Basic plastic surgery instruments suffice.
Modern Face Adaptation
The technique bypasses fixed SMAS fibrosis (caused by biostimulators), accessing mobile anterior SMAS safely.
Direct Vision vs. Endoscopic
| Aspect | Traditional Endoscopic | Direct Vision (Face Moderna) |
|---|---|---|
| Access | Endoscopic with camera/monitors | Direct vision, no special equipment |
| Plane | Subperiosteal (on bone) | Sub-SMAS (fat compartments) |
| Vector | Posterior (backward) | Vertical (upward) |
| Injected faces | Contraindicated or risky | Safe — bypasses SMAS fibrosis |
| Learning curve | Steep (equipment + technique) | Moderate (anatomy + tactile) |
| Operational cost | High (equipment maintenance) | Low (basic instruments) |
"I abandoned the endoscope not because it's outdated, but because I discovered something better. Direct vision gives me total control, without depending on a screen."