Upper blepharoplasty is the gold-standard procedure for the treatment of dermatochalasis. While skin-only excision remains the most common technique, some surgeons perform additional removal of the orbicularis oculi muscle and preaponeurotic or nasal fat pads to address excess tissue and improve eyelid contour. Source: Blue Fin Vision The study by Viscardi & Giordano (2025) aimed to compare outcomes between skin-only upper blepharoplasty and combined excision of skin, orbicu