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[Eton TV] After Double Eyelid Surgery

Etonne Plastic Surgery Clinic · 에톤성형외과의원 · August 28, 2025

After double eyelid surgery Have you ever felt that your eyes somehow look thick and swollen? Many people feel upset about this, right? This kind of eye is often called a 'sausage...

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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: Etonne Plastic Surgery Clinic

Original post date: August 28, 2025

Translated at: April 23, 2026 at 1:50 AM

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

[Eton TV] After Double Eyelid Surgery image 1

After double eyelid surgery

Have you ever felt that your eyes somehow look thick and swollen?

Many people feel upset about this, right?

This kind of eye is often called a

'sausage eye.'

It is not a medical term,

but it is an expression that many people relate to.

It usually refers to the lower skin beneath the double eyelid

looking swollen,

but it can also include cases where the double eyelid line itself

looks too deep and thick.

Let me explain in an easy way

why this happens

and how it can be addressed.

One of the most common causes of sausage eye after double eyelid surgery

is setting the double eyelid line too high.

If the line is placed higher than what suits your eyes,

several problems can occur.

When the double eyelid is made higher,

swelling tends to occur more easily,

so the skin below the double eyelid

may look more swollen.

Another reason is

when the skin is thick,

and too much tissue is removed

to make the skin below the double eyelid thinner,

this can also cause problems.

In such cases,

it may instead trigger more swelling

or create scar tissue,

making that area look puffy.

This can happen to anyone, regardless of whether they had incisional double eyelid surgery, non-incisional double eyelid surgery, or eyelid correction, so it is especially concerning.

And

there are also cases where ptosis, which was not originally present, develops,

making it difficult to open the eyes themselves,

and this can also contribute to

a sausage-eye appearance.

Ptosis refers to a condition in which

the muscle that lifts the eyelid is weak,

so the eyes cannot open properly

and the eyelids droop downward.

If people with this condition undergo only double eyelid surgery without ptosis correction,

the eyes may not open brightly,

and the area below the double eyelid may look swollen

or the fold may appear thick.

If eyelid correction was needed but not performed,

the lower part of the double eyelid may not open well,

which can also cause a sausage-eye appearance.

So if the eyes look like sausage eyes,

you should not look only at the double eyelid line itself,

but also check whether ptosis is affecting

the ability to open the eyes.

Adding eyelid correction may resolve

a lot of the sausage-eye appearance.

The thickness of the eyelid skin

also has a major effect on the double eyelid line.

The skin of our eyelids is not uniformly thick.

The area where the eyelashes grow has very thin skin,

and it gradually becomes thicker as you go upward. It is like geological layers, with boundaries where the skin thickness changes.

What happens if the double eyelid line is made

in the area with thicker skin?

A double eyelid is a fold in the skin,

and when thick skin folds,

its thickness doubles,

which can make it feel much thicker and less natural.

On the other hand, if the line is made in the thinner-skin area,

the double eyelid can look much more natural.

That is why it is important to find

the most suitable double eyelid height for yourself.

If surgery is performed based on the point where the skin thickness changes,

you may be able to have a more natural-looking double eyelid.

When does sausage eye get better?

Swelling after double eyelid surgery

happens to everyone.

But

it is important to distinguish this swelling from a true 'sausage eye.'

After surgery, you need to wait about one to three months

to know for sure.

This period is when major swelling goes down,

so as time passes, the swollen appearance

may naturally decrease.

If you worry too early without waiting enough,

you may mistake simple residual swelling

for sausage eye.

However, if after this period

the double eyelid line still looks thick and swollen,

then it can be considered likely to be a 'sausage eye.'

Depending on the surgical method used,

the exact timing for judgment may vary slightly,

but

in most cases, even after the swelling has gone down,

you need to check whether the eye still maintains a sausage-eye shape.

Can sausage eye

return to beautiful eyes again?

It can be a very painful situation,

and in some cases it may be very difficult to fix.

But in most cases,

it can be corrected through surgery.

The most common solution is

to lower the high double eyelid line to where it was before.

If the line was too high and made the eyelids look thick,

simply lowering the line can give you a much more natural and thinner double eyelid.

If there was ptosis that was not corrected,

automatically, by adding eyelid correction surgery,

you may also be able to resolve the sausage eye.

By improving the force used to open the eyes through eyelid correction,

the lower part of the double eyelid can open more clearly,

creating a natural line.

Depending on your eye condition and the cause of the sausage eye,

it is important to create a customized revision surgery plan.

If you have more questions about sausage eye,

please check out YouTube <Eton TV>.

Thank you 😃

[Eton TV] After Double Eyelid Surgery image 2

[Eton TV] After Double Eyelid Surgery image 3

[Eton TV] After Double Eyelid Surgery image 4

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