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안병준성형외과의원 · 안병준의 눈이야기 · February 22, 2026
Hello. I’m Ahn Byung-joon, the CEO and chief surgeon of Ahn Byung-joon Plastic Surgery. Some people say, even years after surgery, that they feel like the swelling still has no...
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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: 안병준성형외과의원
Original post date: February 22, 2026
Translated at: April 20, 2026 at 4:19 AM
Medical note: This translation does not guarantee medical accuracy or suitability for treatment decisions.
Hello. I’m Ahn Byung-joon, the CEO and chief surgeon of Ahn Byung-joon Plastic Surgery.
Some people say, even years after surgery, that they feel like the swelling still has not gone down.
However, when we look at the eyes directly, there are many cases where it is not simple swelling but a condition in which the line has become excessively thick.
In other words, the eyes look puffy and bulging, like sausages.
At times like this, the solution that can improve the condition is revision surgery for sausage eyes.
The first step is distinguishing swelling from a structural problem.
A large, dramatic line is not always natural
Many people want a large, refreshing double eyelid line.
However, the size of the line and naturalness are not proportional.
As the line gets larger, the skin between the eyelashes and the line is more likely to look thicker.
If you do not understand that boundary, a bulky impression can remain even as time passes.
Inside the eyelid is a sturdy structure called the tarsus.
The double eyelid line should be designed based on the height of this structure.
If it is fixed too high beyond that range, the extra skin folds and ends up looking like a sausage.
This condition is not swelling; it is a structural issue.
Why did it look like swelling, yet stay the same over time?
In consultations, there are people who think the swelling has not gone down even after 3 or 5 years after surgery.
In actual measurements with the eyes closed, there are also cases where the line has formed at 12 mm or more.
A line this large can also interfere with the function of opening the eyes.
That is why it can look like ptosis, and why the eyes may appear even more heavy.
In such cases, the issue is not just modifying the line; the existing adhesions and fixation must be released.
Only then can the eyes regain their original movement.
After that, there needs to be a process of redesigning it for a new position.
That is the basics of revision surgery for sausage eyes.
Revision surgery is not just a simple line change
Eyes with a sausage-like appearance are already in a state where they have been strongly fixed once.
If surgery is done by placing a new layer on top without releasing that fixation, it can become even thicker.
That is why the process of first loosening and dismantling the existing line is important.
If necessary, excess skin should also be addressed at the same time.
Depending on the condition of the eyes, the line is often designed to be lowered into the 8–9 mm range.
However, the design is not made based only on the mm number itself.
The position of the eyeball, skin thickness, and strength used to open the eyes all need to be considered.
That is how revision surgery can result in a thinner line while making the eyes look larger.
In actual cases, after revision surgery for sausage eyes, the line often becomes thinner while the eyes look clearer.
The reason the eyes look larger even though the thickness has been reduced is that the functional factors interfering with them have been removed.
What matters is the balance of the line
What makes the eyes look larger is not simply the height of the double eyelid line.
What matters more is whether it is fixed in a position that matches your own eye structure.
An overly large line can actually make the eyes look pressed down.
On the other hand, a thin line formed at the proper position gives a clear impression.
During a revision consultation, we first analyze the current eye structure and the state of the existing fixation.
Based on that, we decide the direction.
Revision surgery for sausage eyes is not a procedure that simply reduces the thickness you see on the surface.
It is a process of restoring the function and balance around the eyes.
If it looks like swelling but does not change over time, the structure should be checked first.
When you understand the cause and approach it properly, recovery becomes more natural.
The line becomes thinner, and the eyes feel more comfortable.
Revision surgery plays the role of creating that difference.
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