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There Is No Second Failure! Proper Revision Eyelid Surgery

Inique Plastic Surgery · 아이니크 성형외과 공식블로그 · February 4, 2022

Hello. This is Eyenic Plastic Surgery. This year’s Lunar New Year holiday was quite long. During this holiday period, many people were also planning plastic surgery. Some were look...

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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: February 4, 2022

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

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

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Hello. This is Eyenic Plastic Surgery.

This year’s Lunar New Year holiday was quite long.

During this holiday period, many people were also planning plastic surgery.

Some were looking forward to their first surgery for their external beauty,

while many others were planning revision surgery because they had not been able to achieve the eyes they wanted.

At Eyenic, we also focus on revision eyelid surgery, and the number one cause of revision is

revision eyelid surgery due to sausage-like double eyelids.

A sausage-like double eyelid refers to a case where the crease is too large and puffy,

creating an unnatural-looking eye.

Today, let’s talk about why sausage-like double eyelids happen

and what should be done about them.

In medical terms, a sausage-like double eyelid is called “double eyelid hypertrophy” or

“preseptal hypertrophy.”

There are three causes of sausage-like double eyelids,

which become a reason for revision eyelid surgery.

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First, an excessively high double-eyelid line.

In other words, the crease is too large.

This often happens when an overly high line is chosen during the first double-eyelid surgery,

or when a line that does not suit the patient’s eyes is designed.

Second, ptosis has not been corrected.

If only double-eyelid surgery is performed without ptosis correction,

the eyes may look like sausage eyes even if the line is not high.

In such cases, it can give others the impression that the person looks sleepy.

Third, there is insufficient fat above the eyes.

When there is not enough fat, the double-eyelid line may appear relatively large,

which can create an aged appearance.

The most important thing about double eyelids is choosing a size that suits each person’s eyes.

If the crease is set too small for your eyes,

a hidden double eyelid may form.

If it is set too large,

revision eyelid surgery is often needed because of sausage-like double eyelids.

That is why determining the line within an appropriate range is the most important part of double-eyelid surgery.

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If you are considering revision eyelid surgery for the reasons above,

what solutions are there?

There are two ways to correct an excessively high double-eyelid line.

First, if there is enough excess skin,

the existing crease line and the target line are marked,

and the skin between them is incised to lower the line.

This allows the surgery to be performed easily and cleanly,

and the results of revision eyelid surgery are also good.

However, there are cases where there is not enough skin.

In such cases, a new line is designed,

and then the upper line is dissected and released without making a skin incision.

This is a highly difficult method,

and because there is a possibility of recurrence or scarring, it is important to find a doctor

with extensive experience in revision eyelid surgery.

Some of the people who visit Eyenic Plastic Surgery have had revision surgery multiple times at other hospitals,

rather than just their first eyelid surgery.

However, in such cases, there are often situations where there is absolutely no excess skin.

If you truly need revision surgery but have been told that there is no skin to spare,

we recommend having the surgery at Eyenic, where patient satisfaction with revision eyelid surgery is high.

A successful revision eyelid surgery!

We hope you can become the person with those results this time.

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Next is the ptosis correction method.

The second cause of sausage-like double eyelids is ptosis, where the strength to open the eyes is weak

and the black part of the eye is significantly covered.

In cases of ptosis, even with the same crease size,

the line can appear larger.

It is easy to understand if you think about how, when we look in the mirror or take a selfie,

forcing our eyes open makes the crease tuck inward and look smaller.

If the double eyelid is large and ptosis is present,

ptosis must be corrected through eye-opening correction.

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Third, there is insufficient fat above the eyes.

This is also called upper eyelid hollowing.

In such cases, the upper skin often cannot cover the skin beneath the crease,

making the double eyelid appear larger.

In these cases, adding fat grafting or filler can help make the double eyelid appear smaller.

If this is something that was not considered during the first surgery,

revision surgery should be performed at a hospital with extensive experience and know-how,

so that there is no second failure and you can achieve a satisfying result.

To do that, it is important to accurately identify the cause of the incorrect double eyelid

and perform surgery using the proper method,

so that you can have the eyes you truly wanted.

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Eyenic Plastic Surgery has performed more than 5,000 surgeries, including revision eyelid surgery,

and through Eyenic’s own proprietary technology, we have also filed a trademark application with the Korean Intellectual Property Office.

We provide thorough care from consultation to aftercare.

Now, make the natural eyes that suit you together with Eyenic.

As if you had always been beautiful from the beginning,

this was Eyenic. Thank you.

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