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Don’t Worry About Revision Surgery for Sausage-Like Double Eyelids!

Inique Plastic Surgery · 아이니크 성형외과 공식블로그 · May 5, 2022

Hello. This is Inique Plastic Surgery. Today, we will talk about the causes and solutions for so-called sausage eyes, the number one reason for double-eyelid revision surgery. 0 W...

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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: May 5, 2022

Translated at: April 23, 2026 at 5:37 AM

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

Don’t Worry About Revision Surgery for Sausage-Like Double Eyelids! image 1

Hello.

This is Inique Plastic Surgery.

Today, we will talk about the causes and solutions for so-called sausage eyes, the number one reason for double-eyelid revision surgery.

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Don’t Worry About Revision Surgery for Sausage-Like Double Eyelids! image 2

When you hear the word "sausage," what comes to mind first?

Doesn't a sausage between thick pieces of bread come to mind?

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Sausage eyes refer to a puffy upper eyelid that looks like a sausage bun, creating an impression that is stuffy and sleepy, as well as a generally unrefined appearance.

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Don’t Worry About Revision Surgery for Sausage-Like Double Eyelids! image 3

There are many reasons why sausage-like double eyelids develop,

but in many cases, the upper eyelid puffiness becomes more pronounced because the crease was designed too high during the first double-eyelid surgery.

Another cause is having double-eyelid surgery without correcting ptosis. Lastly, if no surgery was performed, it may be due to a lack of fat above the eyes.

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In addition, if you have sausage-like double eyelids, they are side effects that arise according to individual characteristics such as your skin condition, the natural folds of your eyes, and the degree of ptosis. Therefore, the revision surgery plan should be tailored to the cause.

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Shall we take a closer look at the revision surgery plan for double eyelids?

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An excessively high double-eyelid line

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The people who most need revision surgery for sausage-like double eyelids are those whose first double-eyelid surgery went beyond the appropriate range for crease height.

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In these cases, the crease height must be lowered again, and the most important thing is to minimize scarring and create a natural-looking eyelid design.

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To prevent revision surgery for sausage-like double eyelids, the most important thing is to determine the proper crease size. This should always be performed safely at a hospital with long-standing expertise in eye plastic surgery.

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The proper size of a double-eyelid crease refers to the maximum height within the natural range of a double eyelid, which is called the upper limit of crease height. If it is too small, it can become an inside fold, leaving the surgical result disappointing. If it is too large, the sausage-like double eyelid discussed today may develop.

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To correct this, two cases need to be considered.

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If there is enough skin available on my eyelids, the skin between the existing high crease and the target lower crease can be removed, and then the crease height can be lowered again through revision surgery for sausage-like double eyelids. Fortunately, this can create a natural-looking eye shape.

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However, if there is not enough skin left due to the first surgery and revision is needed for sausage-like double eyelids, a method called "double-line incision" should be chosen. Double-line incision is a method that lowers the crease line while preserving the current skin. It involves making an incision along the new design while preserving the skin and releasing the upper existing line.

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However, because this is a highly difficult procedure, it is most important to carefully choose a doctor with extensive experience in revision surgery for sausage-like double eyelids and a safe hospital in order to reduce the possibility of recurrence or scarring.

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Ptosis correction

Don’t Worry About Revision Surgery for Sausage-Like Double Eyelids! image 5

If you have ptosis with weak eye-opening strength,

it can make you look sleepy to others, and even when you try to open your eyes yourself, you may feel discomfort such as using your forehead muscles. Unnatural-looking eyes can also cause aesthetic concerns.

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However, if ptosis is improved through eye-opening correction, the double eyelid can be reduced while still designing a natural-looking line.

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In cases where there is a lack of fat above the eyes

Don’t Worry About Revision Surgery for Sausage-Like Double Eyelids! image 6

Depending on the appearance of the eyes, if there is not enough fat above the eyes, the double eyelid may look relatively large.

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A double eyelid, which is also a fold in the eyelid skin, forms naturally as the eyelid skin folds along the crease line, causing the skin above the crease to cover the skin below. As a result, a sunken-looking eyelid appearance may occur.

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In such cases, the condition can be improved sufficiently by adding volume with fat or fillers above the eyes.

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However, if revision surgery for this type of sausage-like double eyelid is performed, the key is to precisely add only the appropriate amount to the area that lacks volume.

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Today, together with Inique Plastic Surgery, we looked at ways to improve sausage eyes back into natural-looking eyes.

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When performing revision surgery for sausage-like double eyelids, it is essential to accurately identify the cause. Therefore, an exact diagnosis by a medical professional after visiting the clinic is necessary, and making a plan accordingly is the most important thing.

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From now on, do not let sausage eyes stress you out anymore.

Create beautiful eyes with Inique.

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So, until now, this has been Inique, as if you had always been beautiful from the start.

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