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Stop Worrying About Failing! Let’s Finish Revision Eye Surgery in One Go!!

Inique Plastic Surgery · 아이니크 성형외과 공식블로그 · December 24, 2021

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 m...

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This page is an English translation of a Korean Naver Blog archive entry. For exact wording and source context, verify against the Korean archive original and the original Naver post.

Clinic: Inique Plastic Surgery

Original post date: December 24, 2021

Translated at: April 23, 2026 at 5:48 AM

Medical note: This translation does not guarantee medical accuracy or suitability for treatment decisions.

Stop Worrying About Failing! Let’s Finish Revision Eye Surgery in One Go!! image 1

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.

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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:

  1. A double-eyelid line that is excessively high
  2. Ptosis has not been corrected
  3. Insufficient fat in the upper eyelid area

Let’s look at them one by one, starting with No. 1.

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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.

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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.

Stop Worrying About Failing! Let’s Finish Revision Eye Surgery in One Go!! image 5

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!!

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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.

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