Evidence map›Paper›PMID 38899282›Full record

ArticleWorld journal of clinical cases2024

Fat management in upper blepharoplasty: Addition or subtraction blepharoplasties, how and when.

Giovanni Miotti, Jacopo Di Filippo, Martina Grando, Carlo Salati, Pier Camillo Parodi, Leopoldo Spadea, Caterina Gagliano, Mutali Musa, Marco Zeppieri

Abstract read
In one paragraph

Article in World journal of clinical cases, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Article
  2. Revitalizing upper blepharoplasty: Preserving volume.World journal of clinical cases · 2025
    Article
  3. Article
  4. Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Giovanni MiottiDepartment of Plastic Surgery, University Hospital of Udine, Udine 33100, Italy.
Jacopo Di FilippoDepartment of Plastic Surgery, University Hospital of Udine, Udine 33100, Italy.
Martina GrandoDepartment of Internal Medicine, Azienda Sanitaria Friuli Occidentale, San Vito al Tagliamento 33078, Italy.
Carlo SalatiDepartment of Ophthalmology, University Hospital of Udine, Udine 33100, Italy.
Pier Camillo ParodiDepartment of Plastic Surgery, University Hospital of Udine, Udine 33100, Italy.
Leopoldo SpadeaEye Clinic, Policlinico Umberto I, "Sapienza" University of Rome, Rome 00142, Italy.
Caterina GaglianoDepartment of Medicine and Surgery, University of Enna "Kore", Enna 94100, Italy.
Mutali MusaDepartment of Optometry, University of Benin, Benin 3000283, Nigeria.
Marco ZeppieriDepartment of Ophthalmology, University Hospital of Udine, Udine 33100, Italy. markzeppieri@hotmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAs one of the most common aesthetic surgical procedures carried out today, blepharoplasty should be in the repertoire of every plastic surgeon. The term blepharoplasty encompasses a wide range of techniques and options that must be tailored to the specific defect and patient one has to treat. A sound knowledge of the upper and lower eyelids' anatomy is essential for proper surgical execution. Trends have shifted towards more conservative methods (especially of the fat compartment) and sometimes in combination with augmentation techniques, helping to reach a rejuvenated appearance.

aimTo present an overview of the surgical techniques considered for upper lid blepharoplasty and fat pad management, in addition to information on how a surgeon may approach the best treatment for his patient based on current publications in literature.

methodsWe searched the literature published between 2013, to 2023 using Medline and Reference Citation Analysis. The database was searched using the keywords "upper blepharoplasty" AND "fat". Papers without full text/abstracts and reviews were excluded. The search strategy followed the PRISMA. The American Society of Plastic Surgeons guidelines for Therapeutic Studies checklist was used to assess all articles. Two authors individually reviewed each article and rated them for importance and relevance to the topic. A consensus was sought and the most relevant studies.

resultsAfter the application of the selection criteria used in our review, 13 publications were found to address upper lid blepharoplasty specifically. Three of these studies were reviews and three were retrospective studies. Five publications were comparative studies and a further two were clinical trials.

conclusionThe tendency of modern surgery is to be conservative, by removing adipose tissue only if strictly necessary and restoring the volume of the upper eyelid in a concept of beauty that espouses a "full" sight. There is no gold standard technique to achieve younger and enhanced eyelids. Long-term prospective comparative studies are fundamental in understanding which path is the best to follow.

Indexed as

BlepharoplastyCosmetic aesthetic surgeryEye lid surgeryFat padsPlastic surgeryRejuvenation

Identifiers

PMID38899282
PMCPMC11185332

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.