How Should I Undergo Reoperation for “Sausage Eyes”?

The most common side effect after double eyelid surgery is “sausage eyes.”

Sausage eyes refer to a condition after double eyelid surgery in which the line is too high, or the eyes continue to look swollen even after the swelling should have gone down. It appears frequently, but it is considered one of the more difficult side effects to correct.

After eye surgery, it is natural for the major swelling to subside over time. Since minor swelling gradually decreases until as late as six months after surgery, it is not possible to hastily judge that the condition is sausage eyes. Because of this, the timing for eye reoperation is generally set at about six months to one year after the procedure. It is recommended to monitor each person’s recovery and then plan the reoperation.

Sausage eyes usually appear as a swollen eyelid line, so patients often wonder whether simply removing fat will solve the problem. However, sausage eyes cannot be resolved by removing fat alone. The various causes of this phenomenon must be analyzed, and reoperation must be performed accordingly.

Choi Seung-hyeop, director of Wink Plastic Surgery Clinic, explained, “If the existing double eyelid line is high and there is enough excess skin, it is possible to lower the line through reoperation and combine the surgical scar into one by removing the skin between the existing incision scar and the newly lowered line. However, if the double eyelid is high, there is not enough excess skin, the distance between the eyes and eyebrows is too short, or there is ptosis in which the eyes do not close well, then a two-line correction method without skin excision is more appropriate.”

He added, “Depending on the surgical method, the postoperative scar itself will result in two lines: the existing line and the new line. However, depending on the surgeon’s expertise, if the existing adhesions are carefully released and the new line is sutured neatly, it is possible to minimize the scar and make it less noticeable.”

Reoperation for sausage eyes can be performed using various methods in addition to the two-line correction. While removing the existing scar, the cause of the first surgery’s failure must be accurately identified, and a customized surgical method should be chosen while considering each person’s eyelid characteristics. For example, if sausage eyelids resulted from making a small double eyelid or from not properly correcting ptosis, an appropriate treatment should be applied for the situation, such as correcting those issues to create the desired line. Applying the right method can prevent a second or third reoperation and improve the eyes to the most ideal shape.

Director Choi Seung-hyeop advised, “Reoperation for sausage eyes is considered a high-difficulty procedure even among eye reoperations, so it is wise to choose a plastic surgery clinic that primarily provides treatment through medical staff with extensive clinical experience.”

Reporter Jung Hee-won happy1@segye.com

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