Not All “Sausage Eyes” Are the Same!? I’ll Explain Revision Surgery Methods by Type.

Not all “sausage eyes” are the same!? I’ll explain revision surgery methods by type.

Hello.

This is EH Eye Plastic Surgery, where you can be reborn.

The eyes play an important role in forming a first impression. They are one of the most visible parts of the face and also play a very important role in communication with others. When talking with someone, looking into their eyes becomes a major way of conveying emotions and intentions, so many people have complexes about their eyes and consider plastic surgery to address them. In particular, some people try double eyelid surgery to soften sharp or small-looking eyes, but in some cases they end up with “sausage eyes,” where swelling persists for a long time after surgery. As cases of people considering revision surgery due to a thick line are increasing, I’d like to introduce the methods and types that can properly address sausage eyes.

What are sausage eyes?

It refers to when the tissue below the double eyelid line looks very thick.

Types of sausage eyes

▶ When they really look like sausages

▶ When the fixation height is lower than the design

▶ When the fixation is strong

▶ When the eyes look sleepy

There can be cases where there is a very large amount of tissue below the double eyelid, so it really looks like sausage eyes; cases where the fixation height is set a little lower than the design, making the tissue look as if it is slightly sagging; cases where the fixation of the double eyelid line is very strong, making the line itself look like a sunken scar while the tissue below appears puffy; and cases where the eyes look relatively sleepy, which can also be classified as sausage eyes because the tissue below the double eyelid line appears somewhat excessive.

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How to fix sausage eyes

To improve sausage eyes into a natural eye shape, the underlying cause must be accurately identified first, and then the appropriate method should be used.

First, if the fixation is set too low and there is a lot of tissue, the problem can be addressed by releasing the fixation and re-fixing it in the correct position.

If the tissue is abundant and it really looks like a sausage, the issue can be resolved during revision surgery by removing a large amount of tissue.

If the fixation is very strong and makes the eyes look like sausage eyes, the problem can be solved by releasing all the fixation and re-establishing it naturally according to the person’s eye condition.

Lastly, if the eyes look sleepy because they do not open well, ptosis correction can be performed to help the eyes open properly and improve sausage eyes.

Are there many people who have had multiple surgeries?

Some people have tried surgery two or three times, but because it still was not resolved, they have gone on to have it five, six, or even seven times. In revision surgery, damaged tissue or a distorted eye shape must be corrected, so it is inevitably much more difficult than the first surgery. The purpose and direction of improving sausage eyes can vary from patient to patient, and the reasons for why the eyes look like sausage eyes are also all different. Therefore, above all, it is important to accurately examine the patient’s condition, establish a precise surgical plan, and have sufficient communication with the patient.

How do I find a clinic

that can solve my eye problem?

To achieve the right choice and efficient, satisfying results from eye revision surgery, the skill and know-how of the medical team are essential. To judge this, it is necessary to have enough consultation time. The reason is that only when the cause of the previous surgery’s failure is analyzed and the fundamental problem is removed can the desired result be expected. Therefore, if a precise preoperative examination is performed, it can inspire confidence. It is also important to check whether there are many cases. By looking at how things were before surgery and how they changed afterward, you can estimate how your own results may change after surgery.

If I undergo revision surgery,

should I lower my expectations

about the results?

Not everyone needs to lower their expectations for revision surgery results.

Because it is possible to determine whether a patient should have high or low expectations depending on their condition, choosing a medical team that can accurately assess your eye condition can lead to highly satisfying results.

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There may be people who are considering revision surgery while wondering whether things might improve compared to now. If revision surgery is performed with an appropriate method, the result can appear better than before. However, it may fall short of the desired expectation, or it may change into a much better result. This depends on the amount of tissue around the eyes, such as the upper eyelid skin, muscle, and other surrounding tissue.

If there is no actually functional tissue, in many cases you need to lower your expectations significantly.

On the other hand, there are people whose side effects and problems seem severe, but who can still expect a higher level of improvement.

If there is some skin reserve, or if there is actually function available but the eye is in a state where it is not functioning properly, you can set your expectations much higher.

Among people who come in with sausage eyes, there are many who are suffering. What I want to say to them is that while someone who empathizes is needed, what is also needed is someone who can accurately judge their current condition. Because the procedure must proceed in a way that removes the underlying cause, it is important to identify the problems with the previous surgery and the reasons for its failure. Based on this, it is important to meet a medical team that can decide whether revision surgery is possible or not.

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I think the worst thing for people considering revision surgery is false hope. I recommend meeting a specialist who can speak honestly about the patient’s condition.

Sausage eye cases

Earlier, I classified the types of sausage eyes. In this case, it can be said that two of the four types are mixed together.

The fixation is strong, and there is a lot of tissue underneath, making it look like sausage eyes.

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In cases like this, people think the reason they look like sausage eyes is because of the thick line, so they want the line lowered to make it look more natural. If you compare the before and after results, the fixation was adjusted to suit the patient’s eye condition, and the line was lowered as well, resulting in a more natural eye shape after revision surgery.

Next, the type of sausage eyes we will look at is one where the fixation is strong and the eyes do not open well.

The line was designed the same as the existing line, the overly strong fixation was released and weakened, and ptosis correction was performed to improve the sleepy appearance. By weakening the fixation and using ptosis correction, a clearer eye shape was achieved.

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In cases of sausage eyes, the design height is often over 10 mm. However, in fact, even at 6–8 mm, it is possible to create a sausage-like appearance.

If there is a very large amount of tissue underneath, if the design is made high but the fixation is set low, or if the fixation is made strong and too much tissue is left behind, sausage eyes can occur even with an appropriately designed height. Therefore, I recommend that you have a sufficient consultation with an experienced doctor, establish a surgical plan, and prepare for the future.

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