Dr. Ensat et al. [1] have to be eulogized for their aim to conduct their prospective randomized controlled trial. De facto, upper eyelid blepharoplasty is a very common surgical procedure which can be performed under local anaesthesia. Hence, we read this manuscript with extreme interest. In fact, we agree with the authors that one of the main elements to be considered during this procedure are bleeding and postoperative oedema. For this reason, any technical improvements in this particular field can potentially be a relevant step towards the achievement of better outcomes and post-operative quality of life.
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