Insights into upper blepharoplasty: Conservative volume-preserving techniques

Abstract

This editorial commentary critically examines the systematic review by Miotti et al, which discusses the evolving trends in upper lid blepharoplasty towards a conservative, volume-preserving approach. The review emphasizes the shift from traditional tissue resection to techniques that maintain anatomical integrity, paralleling broader trends in panfacial rejuvenation. Miotti et al delve into the nuances of fat pad management, advocating for conservation over reduction to sustain natural contours and improve long-term aesthetic outcomes. This perspective is supported by comparative studies and empirical data, such as those from Massry and Alghoul et al, highlighting the benefits of conservative approaches in terms of patient satisfaction and aesthetic longevity. The review also stresses the importance of surgeon discretion in adapting procedures to diverse patient demographics, particularly in addressing distinct features such as the Asian upper eyelid. However, it identifies a significant gap in long-term comparative research, underscoring the need for future studies to substantiate the safety and efficacy of these minimalist techniques. Overall, Miotti et al.'s work contributes profoundly to the discourse on personalized, conservative cosmetic surgery, urging ongoing research to refine and validate surgical best practices in upper eyelid blepharoplasty.

Keywords: Upper lid blepharoplasty, Volume preservation, Panfacial rejuvenation, Aesthetic longevity, Blepharoplasty

Core Tip: There is a significant shift in upper lid blepharoplasty towards a more conservative approach that emphasizes anatomical preservation over extensive tissue removal. This paradigm shift parallels the holistic approach of panfacial rejuvenation, focusing on volume conservation and augmentation instead of resection. The editorial discusses the findings by Miotti et al and highlights their findings.