Mechanism
A short incision is placed precisely along the pre-designed crease line, typically in the mid-to-lateral section of the upper eyelid where skin laxity is most prominent. Through this incision, the surgeon removes a moderate, narrow strip of skin and anchors the skin–orbicularis oculi muscle layer to the levator aponeurosis to create a stable, long-lasting crease. Because excess skin is excised, the new crease will not be weighed down by sagging skin as seen in non-incisional (suture) double eyelid surgery; because the incision is minimal, swelling and recovery times are significantly shorter than with a full incisional blepharoplasty.
Mini Line vs. Other Options
Compared to non-incisional double eyelid surgery (suture technique): It offers longer-lasting results and can address mild excess skin, though it leaves a small scar concealed within the crease and requires a few extra days of recovery. Compared to full incisional blepharoplasty: It is less invasive with reduced postoperative swelling, but it only removes a limited amount of skin and does not address fat deposits—making it unsuitable for puffy eyelids or significant skin excess at the inner and outer corners of the eyes. The surgical technique is chosen based on the actual amount of skin and fat, not on a patient's fear of surgical interventions.
Indications
Young individuals with single eyelids or hidden/faint creases, mild skin excess concentrated in the mid-eyelid area, minimal orbital fat, and a desire for a more defined, permanent crease than non-incisional methods can offer. It is also suitable for patients whose previous suture blepharoplasty has loosened, provided there is no significant skin excess.
Potential Risks
A small scar hidden within the natural crease that remains pink for 1–3 months, asymmetry between both eyes, an incomplete or disjointed crease in the unincised areas (if the excess skin was underestimated), swelling, bruising, minor hematoma, and infection (rare). If the initial assessment is inaccurate and significant excess skin is present, a revision to full incisional blepharoplasty may be required later.
At BonBoz
A plastic surgery specialist accurately measures the amount of skin and fat, evaluates eyelid thickness, and simulates the anticipated crease using a specialized probe. Mini Line is indicated only when there is minimal excess skin and fat; if excessive fat or skin laxity extends across the inner and outer corners, the surgeon will advise a full incisional blepharoplasty to prevent the need for secondary procedures. The consulting physician is the operating surgeon; incision lines, expected downtime, and follow-up schedules are thoroughly discussed in advance.
