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No More Worrying About Sausage Eyes! Sausage Double Eyelid Surgery for a Natural Eye Shape

Inique Plastic Surgery · 아이니크 성형외과 공식블로그 · January 26, 2022

Hello. This is I-nique Plastic Surgery. ​ At some point, the phrase "looking exotic" began to be used as a compliment for outward features such as having large eyes and a clear, de...

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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: January 26, 2022

Translated at: April 23, 2026 at 5:47 AM

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

No More Worrying About Sausage Eyes! Sausage Double Eyelid Surgery for a Natural Eye Shape image 1

Hello.

This is I-nique Plastic Surgery.

At some point, the phrase "looking exotic" began to be used as a compliment for outward features such as having large eyes and a clear, defined eye shape.

However, most East Asians have relatively less pronounced facial features compared to Westerners.

Still, there is something that can help create larger, more refreshed facial features even on an East Asian face.

That is a distinct and thick double eyelid line.

However, because the bone structure differs from that of Westerners, it is difficult to have a deep, thick double eyelid. If you do have an out-fold double eyelid, Westerners have more developed eye hollows, so due to the difference in depth under the eyebrow, it is difficult to create the same eye shape as a Westerner. If you ignore these innate conditions and, in pursuit of a Western-style eye shape, consider an unconditional thick double eyelid without taking your anatomy into account, it can easily end up looking like a "sausage" eye.

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"Sausage eyes" is a term used when the double eyelid line is too thick and puffy, making the eyes look unnatural. In medical terms, it is known as double eyelid hypertrophy or preseptal hypertrophy.

If you end up with sausage eyes, it can create a negative impression on others and also become a major source of stress for yourself. So when having double eyelid surgery, it is essential to consider the shape of your own eyes and your bone structure from the very beginning.

If this is overlooked and the focus is placed only on a deep line, the result may not be satisfying, and the eyes may look sausage-like.

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The biggest reason sausage double eyelids form is an excessively high fixation of the double eyelid line.

If the double eyelid is fixed too high without properly assessing the condition of your eyes and focusing only on a strong crease, sausage eyes may appear.

In particular, the higher the line is, the more the fullness of the eyelid becomes noticeable, which is why revision surgery to correct the double eyelid line is needed.

So, if sausage eyes have developed because the line is too high, how can this be addressed? In such cases, surgery should be performed to lower the height to an appropriate double eyelid size.

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However, because this is a revision surgery, even more careful judgment is required, and a double eyelid height suitable for the individual must be chosen. If there is enough spare skin when sausage eyes have developed, surgery is performed to lower the line.

By excising the skin between the existing high line and the new lower revision line, the double eyelid height is lowered and the problem of sausage eyes is resolved.

However, if there is no spare skin due to a previous surgery, a method that lowers the line while preserving the skin must be used. This can be described as making an incision along the new design and then releasing the upper existing line through dissection.

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However, because this is a very technically difficult surgical method, if this kind of revision surgery is needed, it is very important to entrust the procedure to an experienced specialist.

If you are considering revision double eyelid surgery after a failed double eyelid procedure, you may be wondering when exactly the revision should be done.

In general, it is possible after 6 months, when the hard scar tissue has softened; however, if symptoms are severe due to surgical side effects, revision surgery can be performed regardless of timing after consultation with the medical staff.

Sausage eyes may appear not only because of an incorrect eye design, but also due to individual characteristics such as skin condition, natural eyelid folds, and the degree of ptosis. That is why, rather than becoming too discouraged, it is most important to find the cause together with the medical staff and establish a revision plan accordingly.

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I-nique Plastic Surgery considers the harmony of the patient's bone structure and facial features to provide the most natural beauty.

If you are considering sausage double eyelid surgery, we hope you can achieve a natural and satisfying eye shape without failure with I-nique.

As if you had been beautiful from the start, This has been I-nique.

Thank you.

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