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If You’re Worried About Swollen “Sausage Eyes” After Revision Double Eyelid Surgery

EYEHO Plastic Surgery Clinic · 눈전문 아이호성형외과 ‍ · May 15, 2023

If you’re worried about swelling after revision double eyelid surgery for so-called sausage eyes A person’s impression is shaped by the harmony of their facial features and overall...

AI translation notice

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: EYEHO Plastic Surgery Clinic

Original post date: May 15, 2023

Translated at: April 23, 2026 at 2:09 AM

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

If you’re worried about swelling after revision double eyelid surgery for so-called sausage eyes

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A person’s impression is shaped by the harmony of their facial features and overall face shape. In particular, the eyes can be said to be the most influential feature in forming an impression. Depending on the shape of the eyes, a person’s first impression is determined and it has a major impact on how that impression changes, so many people make an effort to create pretty and attractive eyes. If you do not have double eyelids, you may appear relatively sharp, stern, or cold, and this can become a complex. For that reason, people have tried to create a double eyelid line using various tools such as makeup, double eyelid tape, and double eyelid glue to produce a softer and neater image. Even so, because the underlying cause is not resolved, there can be limitations. As time passed, more and more people became concerned about plastic surgery.

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If your eye condition is not carefully examined, the design and surgical plan may not be established properly, which can lead to negative results. Many people are troubled by thick-looking eyes that seem like swelling has not gone down, even though a long time has passed since they had eye surgery. What is commonly called “sausage eyes” refers to a thick appearance in which the double eyelid line is so high that even after enough recovery time—about 6 months to 1 year after double eyelid surgery—it still looks as if the swelling has not gone down, like a sausage. If you are considering revision surgery for sausage eyes, there are more factors to examine than when you first had surgery, such as the degree of tissue and skin damage caused by the initial procedure, so it can be a relatively difficult process.

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If sausage-like double eyelids develop, the eyelids can become puffy as if there is fat in the eyelid area, making the eyes appear even smaller and giving a sleepy-looking impression, so special caution is needed. Causes of eyes looking thick like this can include setting the line too high and too large in a way that does not suit one’s eyes, failing to remove unnecessary subcutaneous tissue and fat, or having the line fixed lower than the incision line so that the eyelid skin does not look flat but instead appears raised. Because everyone’s eye shape, amount of fat, skin condition, and degree of sagging are different, when performing revision surgery for sausage eyes, it is better to closely analyze the cause of the previous surgery’s failure rather than applying a standardized surgical method. When carrying out sausage-eye revision surgery in Gangnam, our clinic prioritizes an individualized diagnosis through sufficient consultation.

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Because the procedure must take into account various factors such as the size of the double eyelids, eyelid thickness, eye-opening strength, eye length, angle, and shape, people undergoing eye revision surgery inevitably feel a great deal of fear and burden. That is why it is advisable to conduct one-on-one personalized consultations, understand the condition in detail, and establish a solution that suits the individual without going overboard. In general, it takes about 6 months for the tissues to recover sufficiently after the first surgery, so it is better to perform revision surgery after the overall tissues have stabilized over that period. Also, if early revision surgery is desired, it may be recommended to make a quick decision within 2 weeks, before the previous surgical site hardens. If sausage-eye revision surgery is performed hastily, it could lead to an unfortunate situation that requires yet another revision. Therefore, having enough consultation with a medical team experienced in revision surgery and trusting the waiting period is a way to create beautiful eyes that suit you.

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In addition to sausage eyes in which swelling does not subside and the thick double eyelid line remains even after 6 months, revision surgery may also be considered in cases where the double eyelid line has come undone, the eyes are uneven, the double eyelid line is too low, the shape is unsatisfactory, or there is asymmetry. Our clinic identifies the cause of the previous failure, diagnoses the eye condition of the patient, and considers skin condition and facial proportions to carry out an appropriate design and surgical method. Postoperative care is also managed systematically, which can help reduce concerns about revision surgery. It should also be kept in mind that sausage-eye revision surgery can cause problems not only cosmetically but also functionally.

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If you undergo a second or third sausage-eye revision surgery rather than the first surgery, scars will continue to increase and the tissue may be damaged, making it difficult to create the desired line. If the double eyelid line has already become firm and you attempt revision surgery again without establishing an appropriate treatment plan for the scar, it may cause severe scarring and make the line look darker and thicker. Therefore, it is important to precisely calculate the amount of extra eyelid skin, the degree of tissue damage, scars from previous surgeries, the presence of ptosis, and changes in eye structure, while considering the appropriate revision method for the individual so as not to cause inflammation, scarring, or other side effects.

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Compared with other plastic surgeries, double eyelid surgery is less burdensome and relatively simple, so it has become much more common than in the past, leading many people to choose it easily. However, this can also lead to side effects and revision surgery. Sausage eyes should not be dismissed with the assumption that they will improve over time. This is not something that can simply be seen as swelling, and it is not a symptom that improves naturally, so adhesions may become worse over time. Therefore, even if you try various methods such as cold compresses, pumpkin juice said to help reduce swelling, or sleeping with your head elevated, if the line does not easily become natural, you may suspect the symptoms mentioned above. Revision surgery can be financially burdensome, and because anesthesia and the surgical process must be done again, it can also be an intense psychological stress, so careful attention is needed.

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Since we see the world through our eyes, the eyeballs play an important role in vision, allowing us to distinguish objects, people, and text. It is important that sausage-eye revision surgery helps secure a clear field of vision, but it is also important whether the result can create an eye shape that suits the person. Depending on how subtle changes in angle and position vary, the overall image can change significantly, so it is good to understand this fully and prioritize an appropriate surgical method based on eye condition, harmony with the face, and a design that reflects that. In modern society, where appearance is also a competitive advantage, more and more people are trying to improve their looks into a more positive image. The result of improving sausage eyes can vary depending on where and by whom the procedure is performed. That is why a sufficient consultation process beforehand is essential if correction is to proceed in the desired direction. To make it the final surgery, we hope you choose a place that provides responsible care, including enough communication with the medical team and follow-up care, so that your sausage-eye revision surgery is successful.

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