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How to Naturally Lower the Double Eyelid Line

Inique Plastic Surgery · 아이니크 성형외과 공식블로그 · June 21, 2023

Hello, This is Ineek. Double eyelid surgery is one of the most popular and accessible procedures among cosmetic surgeries. However, if the double eyelid line is made too large duri...

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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: June 21, 2023

Translated at: April 23, 2026 at 4:49 AM

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

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Hello,

This is Ineek.

Double eyelid surgery is one of the most popular and accessible procedures among cosmetic surgeries. However, if the double eyelid line is made too large during the first surgery, it can result in an unnatural so-called “sausage” eye.

To completely fix this sausage eye, you need to find a skilled doctor and undergo revision surgery, and through a thorough analysis of the cause and a proper plan, a natural line that suits your eyes must be found.

So then, how does Ineek perform creating a double eyelid line?

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First, the number one cause of eye revision surgery is sausage double eyelids.

A sausage eyelid refers to eyes that look unnatural because the double eyelid line is thick and puffy. In medical terms, it is diagnosed as “double eyelid hypertrophy” or “preseptal hypertrophy.”

There are three major causes of sausage eyes: first, an excessively high double eyelid line; second, when ptosis has not been corrected; and third, when there is insufficient fat above the eyes. Accordingly, the solution is adjusted to match the cause.

Because sausage eyes are a side effect that occurs depending on individual characteristics, such as skin condition, the natural fold of the eyes, and the degree of ptosis, the revision method differs depending on the cause. That is why it is important to accurately identify the cause and establish a revision plan accordingly.

So let’s take a look at the solution for sausage eyes by cause.

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One of the most important parts of double eyelid surgery is creating the line in the proper double eyelid zone.

However, if it exceeds the upper limit of the appropriate double eyelid height, it becomes sausage double eyelids. In such cases, the height of the double eyelid can be lowered and the eye can be restored to a natural appearance while minimizing scarring.

Also, for patients with this type, the surgical method is chosen differently depending on how much excess skin there is on the eyelid. When there is enough skin available, the skin between the existing high line and the target lower line is removed, and by lowering the double eyelid height, the sausage effect is resolved and a natural eye is achieved.

On the other hand, when there is not enough excess skin, a method that lowers the line while preserving the skin, also called a double-line technique, may be used.

Since this type of surgery is highly difficult, it is important to be operated on by an experienced doctor.

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Second, when ptosis has not been corrected: if there is ptosis with weak eyelid-opening strength, the line can look large even if the double eyelid itself is not high. Therefore, correcting ptosis through eyelid correction makes the double eyelid sit more naturally, resulting in a small and natural-looking double eyelid.

When ptosis is corrected, the height of the double eyelid remains the same, but as the thickness of the fold changes, the size of the eyes also changes.

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Lastly, when there is insufficient fat above the eyes: if there is not enough fat above the eyes, the double eyelid can also appear larger. When eyelid fat is lacking, the skin above the line cannot sufficiently cover the lower area, and as a result, the double eyelid appears larger and may make you look older or tired.

In such cases, filling the area above the eyes with fat or filler is effective, and good results can be achieved by filling the proper amount in the correct location.

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Ineek is a double eyelid specialty plastic surgery clinic that has satisfied many patients with the rich experience and expertise of over 5,000 eye surgeries and revision surgeries.

Based on the refined technique developed from this experience and know-how, Ineek Plastic Surgery can perform smooth and natural double eyelid line-lowering surgery.

If you want the most satisfying sausage eye surgery with no more failures, now is the time to meet Yang Hae-won, the chief director of Ineek, a specialist in eye plastic surgery. Chief Director Yang Hae-won is a board-certified plastic surgeon with over 15 years of experience, and as a visiting professor at Sungkyunkwan University School of Medicine and a plastic surgery specialist at Samsung Medical Center, he has accumulated extensive experience and expertise.

So, until now, this has been Ineek Plastic Surgery, making you look as if you were pretty from the start.

Thank you.

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