Oil-in-water (O/W) emulsified foods are highly susceptible to lipid oxidation, a reaction predominantly initiated at the oil-water interface where multiple reactive pathways operate simultaneously. In such complex multiphase systems, the efficacy of natural antioxidants is severely limited by their chemical instability and their inability to effectively reach this critical interfacial region. These constraints necessitate the development of structural delivery systems to improve the spatial distribution and persistence of natural antioxidants in emulsified food matrices. Liposomes offer an adaptable nanocarrier platform that enhances interfacial accessibility, protects encapsulated antioxidants from environmental stressors (such as oxygen and metal ions), and modulates their retention and release kinetics. However, the practical application of liposomes in food matrices remains challenging due to the intrinsic structural properties of food-grade phospholipids, the complex interfacial behavior of lipid bilayers, and significant restrictions imposed by current preparation methods. These factors collectively govern the physicochemical attributes essential for liposome performance in complex food environments. This review synthesizes structural and mechanistic perspectives on oxidation in O/W emulsions. It evaluates how liposomal design parameters— including phospholipid composition, cholesterol incorporation, surface modification, and solvent-dependent manufacturing strategies—influence efficient antioxidant delivery. By integrating these critical considerations, this review aims to establish key design principles for advancing food-grade liposomal systems, thereby supporting their potential as an approach to enhance oxidative stability and reduce reliance on synthetic antioxidants.