Dry eye disease and eyelid margin inflammation remain among the most common reasons for ophthalmic consultation, yet outcomes often depend less on adding novel therapies and more on sustaining basic, low-friction routines [1,2]. In particular, eyelid hygiene and heat-based therapy are frequently recommended, but patient adherence is limited by variability in temperature delivery, inconvenience, and concerns about hygiene [3-5]. This perspective paper reviews why the eyelid margin is a central therapeutic target, highlights practical barriers to adherence with traditional warm compresses, and proposes a simple, patient-centered routine that combines eyelid hygiene with controlled thermotherapy. We also discuss how formulation choices and clean-label preferences influence patient acceptance, especially in retail channels [6].