Letter to the Editor
Copyright ©The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. May 26, 2025; 13(15): 100563
Published online May 26, 2025. doi: 10.12998/wjcc.v13.i15.100563
Revitalizing upper blepharoplasty: Preserving volume
Rana Farsakoury, Abdulqadir J Nashwan
Rana Farsakoury, Department of Plastic and Reconstructive Surgery, Hamad Medical Corporation, Doha 3050, Qatar
Abdulqadir J Nashwan, Department of Nursing and Midwifery Research, Hamad Medical Corporation, Doha 3050, Qatar
Author contributions: Farsakoury R and Nashwan AJ Writing the draft and critically reviewing the literature. All authors have read and approved the final manuscript.
Conflict-of-interest statement: All the authors declare that they have no conflict of interest.
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Abdulqadir J Nashwan, PhD, Researcher, Department of Nursing and Midwifery Research, Hamad Medical Corporation, Rayyan Road, Doha 3050, Qatar. anashwan@hamad.qa
Received: August 20, 2024
Revised: December 27, 2024
Accepted: January 9, 2025
Published online: May 26, 2025
Processing time: 154 Days and 1.8 Hours
Abstract

Blepharoplasty is a frequently performed aesthetic surgery today aimed at enhancing eyelid appearance and correcting age-related changes. The traditional method of subtraction blepharoplasty, which involved removing fat and excess skin, is now considered outdated. This letter explores Gorgy et al's commentary on Miotti et al's study, highlighting a shift in upper eyelid blepharoplasty towards a more conservative, volume-preserving approach. The study systematically reviewed 10 publications, including three retrospective studies, five comparative studies, and two clinical trials. It emphasizes the trend towards preserving the patient's natural anatomy and focusing on enhancement rather than alteration. However, the study's limitations, such as the lack of long-term comparative research, a relatively small sample size, and a single-center design, indicate that further research with extended follow-up is necessary to validate the safety and effectiveness of these techniques. The focus is increasingly on preserving and augmenting volume in upper blepharoplasty rather than removing tissue.

Keywords: Upper lid blepharoplasty; Volume preservation; Fat pad; Aesthetic longevity; Blepharoplasty

Core Tip: Adopting volume conservation and augmentation techniques, rather than traditional subtraction methods, can significantly enhance outcomes for patients undergoing upper blepharoplasty, emphasizing the importance of a conservative approach in managing these cases effectively.