The Foundation
Modern Face®
A Surgical Philosophy for the Contemporary Patient
The "classic" facelift patient — someone who has never received injectable treatments — is now the exception. Modern Face® is a surgical philosophy designed for the majority of patients who arrive with tissue already altered by fillers and bioestimulators.
The Shift No One Talks About
Every facial surgery textbook, every traditional training program, every "classic" technique was developed for a patient population that barely exists anymore.
Consider: most patients seeking facial rejuvenation surgery today have previously received facial fillers, bioestimulators (like Sculptra or Radiesse), or both. These treatments are ubiquitous. Your patients aren't arriving with virgin tissue — they're arriving with tissue that has been injected, stimulated, and altered multiple times.
This matters surgically because:
- Planes are unpredictable. The sub-SMAS plane that Deep Plane relies upon? It may be disrupted by fibrotic nodules, migrated filler, or bioestimulator-induced collagen.
- Tissue consistency varies. Areas that should dissect smoothly may be adherent. Tissue that should be mobile may be tethered.
- Anatomical landmarks shift. Granulomas, fibrosis, and pseudo-capsules create unexpected structures that weren't in your training.
"We cannot keep operating on the Modern Face with techniques designed for the Classic Face. The tissue has changed. Our approach must change with it."
The Modern Face® philosophy is Dr. Brandão's response to this reality. It's not about abandoning anatomical principles — it's about adapting them for the patients who actually walk into your office.
The Four Pillars
Modern Face® isn't just a technique — it's a framework for thinking about facial surgery.
Direct Vision
See what you're doing. No cameras, no screens, no equipment dependency. Your eyes, your hands, direct control.
Learn more arrow_forwardSafety First
Every technical decision prioritizes nerve preservation and complication prevention over speed or convenience.
Learn more arrow_forwardVertical Vectors
Lift where gravity pulls — vertically. Not the lateral tension of traditional techniques.
Learn more arrow_forwardFast Recovery
Local anesthesia, minimal dissection, reduced edema. Patients return to life faster.
Learn more arrow_forwardWhat Modern Face® Is NOT
Not a rejection of anatomy
Modern Face® is built on anatomical understanding — it simply acknowledges that the anatomy we encounter today is different from what textbooks describe.
Not a claim that other techniques are wrong
Traditional Deep Plane is excellent — for certain patients. Dr. Brandão teaches when to use each approach. Modern Face® is about matching technique to patient.
Not marketing language
This isn't a brand built for patient marketing. It's a framework for surgeons. The philosophy emerged from clinical necessity, not commercial strategy.
Not about avoiding complexity
Direct Vision doesn't mean simpler surgery. It means surgery where you see everything directly — which can actually be more demanding in terms of anatomical knowledge.
Techniques Built on Modern Face® Philosophy
Midface
ENDOMIDFACE® by Direct Vision
Vertical midface elevation using Direct Vision approach. The core technique for addressing the malar complex and nasolabial region in the Modern Face patient.
Learn the technique arrow_forwardCervical
Deep Neck Without Gland Removal
Cervical rejuvenation that preserves the submandibular gland while achieving excellent neck definition. Complementary to ENDOMIDFACE® for full facial treatment.
Learn the technique arrow_forwardLearn to Operate on the Modern Face
Training programs designed for surgeons who want to adapt their practice for contemporary patients — not yesterday's textbooks.