Introduction: The nasolabial folder is one of the most difficult face correction structures in rhytidectomy surgery [5, 22]. Anatomical studies have shown that the ptosis of the cheek region and the deepening of the nasolabial sulcus and the formation of skin bags and jowls, at the level of the mandible border, are the first signs of facial aging (Yousif, Plast Reconstr Surg. 93:60-8 1994). The author presents a new flap, using the deep temporal fascia, with the purpose of supporting and suspending the middle third of the face, reinforcing the SMAS treatment (Erfon, Rev Bras Cir Plast. 12:65-7, 1997) and also facilitating traction of nasolabial sulcus, labial commissure and jowls, defining a jovial aspect to this area, and believing to be an important ancillary method in rhytidoplasty. Method: A retrospective study was performed with patients submitted to rhytidectomy with the deep temporal fascia flap from January 1995 to December 2018. The flap can be used in classic or endoscopic rhytidoplasty. It is drawn rectangular in the deep temporal fascia, 3 cm wide and throughout the fascia, to the upper temporal line. Folded 180 degrees above the zygomatic arch is fixed beyond the suture lines of the SMAS-plasty, in the middle third of the face. Results: In the period studied, 1070 flaps were performed in 535 patients, 500 (93.45%) female and 35 (6.55%) male. The mean age was 58 years. The open approach was used in 503 (94.02%) of the cases and the endoscopic in the remaining 32 (5.98%). The incidence of hematomas occurred in seven (1.30%) of the patients. Four patients (12.50%) of the endoscopic approach underwent re-interventions, while in the open approach they were only 5 (0.99%). Conclusions: We concluded that the use of the deep temporal fascial flap allows adequate suspension and fixation of the mid-face, reinforcing SMAS-plasty, with longer results and without an increase in surgical complications, which can be used by open or video-endoscopic approach.