
Hello. This is i-NIQUE Plastic Surgery.
The reasons for revision eye surgery are truly varied.
Basically, some people come because they do not like the design,
but there are also many who visit because the double eyelid has come undone, there is asymmetry,
the eyes do not close properly, or for other truly hard-to-explain
reasons.
Today, we will take a look at the so-called "sausage double eyelid," which has consistently
held the No. 1 spot among revision eye surgery cases.

Sausage eyes are a side effect that occurs depending on an individual’s skin condition,
the natural crease of the eyes,
and the degree of ptosis. In medical terms,
they are diagnosed as double-eyelid hypertrophy or pretarsal hypertrophy.
Because the revision method for sausage eyes differs depending on the cause,
it is often important to identify the exact cause
and establish a revision plan accordingly.
In the case of revision eye surgery, it is only possible after six months,
when the firm scar tissue from the first surgery has softened,
so please keep this in mind
when visiting us.
So then, let’s look at the causes and
solutions for sausage double eyelids.
There are broadly three causes of sausage double eyelids:
- A double-eyelid line that is excessively high
- Ptosis has not been corrected
- Insufficient fat in the upper eyelid area
Let’s look at them one by one, starting with No. 1.

An excessively high double-eyelid line refers to a case where the line exceeds
an appropriate height range and becomes a sausage double eyelid.
The height of the double eyelid is lowered and minimized
to create a more natural-looking eye.
The size of the double eyelid is very important not only in revision surgery but also
in the initial surgery, and it is very important to determine the height that suits you
through consultation with a plastic surgery specialist.
If there is sufficient skin at this time,
the skin between the existing high line and the target line is excised,
and the double-eyelid height is lowered to resolve the sausage-like appearance and make it natural.
If there is not enough skin, a method called "double-line incision" is used,
which lowers the line while preserving the skin.
Double-line incision is a high-difficulty method used only when there is a lack of skin.
It involves making an incision along the new design,
preserving the skin, and dissecting and releasing the upper original line,
so it is best to have the surgery performed by a doctor with extensive experience.

Eyes with ptosis, where the muscles that open the eyes are weak and the correction has not been done,
can also make the double eyelids look larger and appear sausage-like.
As you can see in the image, even though the double-eyelid line is not high,
it looks thick and obscures the pupil, so the field of vision is not clearly secured,
so correction is definitely recommended.

When there is insufficient fat in the upper eyelid area,
the double eyelids can also look larger.
A double eyelid is simply a fold in the eyelid.
As the eyelid skin folds along the double-eyelid line,
the skin above the line covers the skin below.
When there is not enough fat around the eyes,
this sunken appearance is called eyelid hollowing.
People with eyelid hollowing may have double eyelids that look larger,
and may look older or tired, so they may need a procedure to add volume to the upper eyelid area.
At i-NIQUE, volume is added through fat, filler, and other methods
so that the double eyelid can settle into a natural-looking line.
Please remember that good results can be achieved only when fat and filler are added
in the right amount and at the correct location!!

So far, we have looked at the causes of revision eye surgery
and the solutions.
At i-NIQUE, where a plastic surgery specialist with extensive experience in eye surgery and revision surgery is on site,
we help you transform your eyes beautifully with know-how recognized through a commendation from the Minister of Health and Welfare,
textbook contributions, and published papers.
Don’t let a sausage double eyelid stress you out any longer.
Why not visit i-NIQUE and get a consultation?
Then, as if you had been beautiful from the start,
this was i-NIQUE.
Thank you.


