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If You’re Considering Revisional Double Eyelid Surgery for a Sausage-Like Appearance

Inique Plastic Surgery · 아이니크 성형외과 공식블로그 · January 10, 2023

Hello, this is Inique Plastic Surgery. The eyes account for the largest part of a person’s impression! The eyes can influence the overall impression of a person so much That is why...

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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 10, 2023

Translated at: April 23, 2026 at 5:20 AM

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

If You’re Considering Revisional Double Eyelid Surgery for a Sausage-Like Appearance image 1

Hello, this is Inique Plastic Surgery.

The eyes account for the largest part of a person’s impression!

The eyes can influence

the overall impression of a person

so much

That is why many people visit plastic surgery clinics

and consider “eye surgery”

to create a more positive impression.

And among those, when someone wants a clearer

and larger eye design,

double eyelid surgery is performed.

However, quite a few people consider revision surgery

due to side effects after double eyelid surgery.

The so-called sausage-like double eyelids, which are ranked as the number one reason for eye revision surgery,

are caused when the double eyelid line becomes thick and swollen after surgery,

and there are various causes.

So today, with Inique, a specialist in eye surgery,

we will look at

the revision methods for sausage-like double eyelids

based on the cause.

When many patients visit for a consultation about

sausage-like double eyelid revision surgery,

the first thing they ask is when revision surgery is possible,

in other words, the timing.

At Inique, we generally recommend waiting 6 months,

when scar tissue begins to soften,

but depending on the patient’s condition,

if the side effects are severe or they are experiencing difficulty to the point that daily life becomes uncomfortable,

we do not strictly stick to the timing.

After thoroughly planning the surgery with the medical team,

we proceed with revision surgery.

If You’re Considering Revisional Double Eyelid Surgery for a Sausage-Like Appearance image 2

Then, what are the reasons that make sausage-like double eyelid revision surgery necessary?

First, it is when the initial double eyelid surgery designed a line that was excessively high.

Designing a suitable upper limit for a double eyelid line that matches your eyes and the overall atmosphere of your face is not easy.

If You’re Considering Revisional Double Eyelid Surgery for a Sausage-Like Appearance image 3

If the delicate design of the double eyelid line fails in the first surgery

and the line is made too high,

it becomes a sausage-like double eyelid.

In such cases, revision surgery to lower the line is needed.

However, even in this case, patients are divided into those with enough extra skin and those without enough extra skin around the eyes.

Fortunately, if there is enough extra skin,

revision surgery for sausage-like double eyelids is performed by removing the skin between the existing high line and the newly reset target line,

and lowering the height of the double eyelid.

However, if there is not enough extra skin,

a more advanced surgical method called the double-line technique is performed.

The most important thing in the double-line technique is that the line must be lowered while preserving the skin,

so the surgeon must make an incision along the new design

while dissecting and releasing the existing upper line. If You’re Considering Revisional Double Eyelid Surgery for a Sausage-Like Appearance image 4

Because this is a highly advanced method,

choosing a doctor with extensive experience and skill in this procedure

can help prevent repeat revision surgery

and minimize scarring.

If You’re Considering Revisional Double Eyelid Surgery for a Sausage-Like Appearance image 5

Sausage-like double eyelid revision surgery

is not something that appears only when the first double eyelid surgery has failed.

It can also occur when ptosis has not been corrected.

Ptosis, which occurs due to weak eye-opening strength,

can be corrected with eye-opening correction alone, which shortens the levator palpebrae superioris and Müller's muscle—both important for opening the eyes.

This can result in a natural double eyelid fold rather than sleepy-looking eyes or sausage-like eyes.

If You’re Considering Revisional Double Eyelid Surgery for a Sausage-Like Appearance image 6

Lastly, another case in which sausage-like double eyelid revision surgery is needed

is when there is insufficient fat above the eyes.

When there is insufficient fat above the eyelid, which can also occur due to wrinkles on the eyelid,

double eyelids, or reduced elasticity from aging,

the volume is restored by using fat or filler above the eyes.

In such cases, it is important to choose a medical team capable of precise surgery,

because filling the proper amount in the exact location

can lead to natural results even after surgery.

If You’re Considering Revisional Double Eyelid Surgery for a Sausage-Like Appearance image 7

Today, we looked at the various cases in which double eyelid revision surgery is needed,

together with the solutions.

Revision surgery is clearly more difficult than the first surgery.

That is why the psychological burden is often greater.

At Inique Plastic Surgery, we understand how our patients feel,

and to help ensure a more perfect revision surgery,

we continue to conduct ongoing research through various cases.

If you are worried about failing again,

now regain your confidence with subtle beauty

together with Inique, a specialist in eye surgery.

Then, until now,

this has been Inique Plastic Surgery,

as if you had always been beautiful from the beginning.

Thank you.

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