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It’s Not the Burial Method That Caused the Droopy Sausage Eye After Double Eyelid Surgery

Noonopi Plastic Surgery · 젊어지는 솔루션 | 눈높이성형외과 · January 21, 2024

Hello. I’m Eyesight Plastic Surgery’s clinic manager, Eyesight Sister, here to meet you with a variety of stories from Eyesight Plastic Surgery. A long time ago, I once drove a fri...

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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: Noonopi Plastic Surgery

Original post date: January 21, 2024

Translated at: April 25, 2026 at 6:11 AM

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

It’s Not the Burial Method That Caused the Droopy Sausage Eye After Double Eyelid Surgery image 1

Hello.

I’m Eyesight Plastic Surgery’s clinic manager, Eyesight Sister, here to meet you with a variety of stories from Eyesight Plastic Surgery.

A long time ago, I once drove a friend to get double eyelid surgery on eyes that were not suitable for the burial method.

My friend had fairly thick eyelids and looked a little sleepy, so I found it a bit interesting and went along with her.

I’m going to get double eyelid surgery without using a scalpel~

My Eyesight Sister friend said.

Contrary to her very cheerful feelings, I was honestly worried. Would it even work? Would it turn out pretty?

It’s Not the Burial Method That Caused the Droopy Sausage Eye After Double Eyelid Surgery image 2

Her thick eyelids

As it turned out, a few months later one of her double eyelid folds came undone and she had revision surgery. Now she has what is commonly called a sausage eye. At a glance, it clearly looks like a surgically done eye, and rather than appearing harmonious, it feels like a line has been drawn across a thick eyelid.

Today, I’d like to talk about the know-how at Eyesight Plastic Surgery for creating double eyelids in eyes with these kinds of conditions.

I didn’t mean to brag from day one, but Director Park Seong-hyeok at our clinic has, hmm, how should I put it, an incredibly delicate touch and a very high standard when it comes to perfection. Come to think of it, the name suits him well^^

Even for the most common procedure in Korea, double eyelid surgery, when a patient comes in, he does not offer a mechanical consultation. He looks once, then looks again just in case, and checks whether there might be an even better direction to take. When I see that, I really do feel a little proud to be working with him... Is that okay?~~

The director’s criteria are varied, but from where I stand, he carefully checks the following features~

Is there ptosis?

Has the eyelid sagged from long-term use of eyelid tape?

Where is the thick skin of the eyelid located?

Are the pupils clearly and attractively visible?

What kind of double eyelid line do you want? In-line? Out-line?

From an ordinary person’s point of view, double eyelid surgery is simply creating a line above the eye. But medically, the shape of the eye has many variables.

Look around you today. You’ll probably find that cases where people have had double eyelid surgery but it feels awkward are more common than you think.

Common complaints after double eyelid surgery

That’s enough about my story. Today, I’d like to talk about the very common but carefully chosen burial method for double eyelid surgery~

The most common problems in revision double eyelid surgery are, first, the burial method was done but the fold came undone; and second, what some patients describe as sausage eyes. In general, from an ordinary person’s perspective, incision surgery can feel a bit scary just to think about, and recovery takes longer, so it seems like the usual “pinching” method is often the first option people consider.

Of course, if such a simple method produces a pretty and satisfying result, that would be the best of both worlds.

Why the burial method for double eyelid surgery is criticized

What fault could the burial method, also called a no-incision double eyelid surgery method, possibly have? When used appropriately for the right case, it is truly a very good method: pretty, less painful, and faster to recover from. The only problem seems to be whether it was performed in a suitable case.

| How to prevent the fold from coming undone |

An experienced doctor can often predict the possibility of the fold coming undone in advance. If you think of it as simply drawing a line on the eye, that line can disappear. But when you consider the structure of the entire eye, the skin within it, the muscles within it, and the harmony of the entire face, as Dr. Park does, these issues can be improved.

But~ when the doctor says it’s not suitable, you should trust that. There’s no need for us to use our bodies as test subjects, right? Rather than having to try it ourselves to know, please trust the method recommended through a higher level of judgment.

| How to prevent sausage-like double eyelids |

Literally, instead of becoming prettier, it just creates a line above the eye, and you may have seen cases where it doesn’t harmonize naturally with the eye and instead feels like it is floating above it. It’s unfortunate. This is more common in double eyelid surgery performed in middle age, so our director pays especially close attention to the eyes and the surrounding area when middle-aged women come in.

That’s because the original purpose of creating double eyelids is not limited to the technique itself; the goal is to achieve a harmonious and beautiful result. If the burial method is performed on eyes for which it is not appropriate, it can result in what is called sausage eyes.

It’s Not the Burial Method That Caused the Droopy Sausage Eye After Double Eyelid Surgery image 3

Example of sausage eyes

Self-checklist for eye shapes suited to the burial method

The following cases may be suitable for the burial method.

YesNo
The eyelids are relatively thin
It is easy to open the eyes without moving the eyebrows
You want a natural-looking result

*Detailed information about ptosis correction, which is considered difficult with double eyelid surgery

A tiny difference, a big difference in standards

For a pretty result, it is important to accurately understand the current condition of the eyes before proceeding with the procedure. We assess the thickness of the eyelids, the degree of sagging, and whether there is sagging of the eyebrows or a structure that comes down from the forehead. In the end, it may look like we are simply changing the eyelid covering the eye, but when we consider more than that, better results are achieved.

The burial method is a good plastic surgery method. It’s just that it is not a good method for everyone, and our motto at Gangnam Station Eyesight Plastic Surgery is to communicate this as accurately as possible in advance and help patients make the right choice^^

We do not recommend an easy method just because it is simple right away and does not feel financially burdensome, making it easy to gain the patient’s agreement. We suggest an aesthetic approach that will last and continue to satisfy you even 10 or 20 years from now.

Everyone~ raise your standards~ and we will do our best to meet your standards.

*Detailed information on how to make middle-aged eye plastic surgery beautiful based on evidence

*Detailed information on what you should know before double eyelid surgery after long-term use of eyelid tape and eyelid glue

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