Hello, I’m Dr. Choi Seung-hyeop of Wink Plastic Surgery. After double-eyelid surgery, some patients complain that their double eyelids are excessively thick and puffy, making them look unnatural.
Because these kinds of double eyelids resemble plump sausages, they are also called “sausage eyes.”
In cases of sausage-eye double eyelids, revision surgery can usually lower the fold height and create a more natural look.

Double eyelids that are thick and puffy are called “sausage eyes.”
Let’s take a look at ways to lower a double-eyelid fold. These methods are generally divided into two types: a resection method, which lowers the fold by removing eyelid skin below the existing crease line, and an incision-preserving method, known as double-fold re-creation, which lowers the fold without removing eyelid skin.

Double-fold re-creation can improve sausage eyes.
In resection-based double-eyelid surgery, the fold is lowered by removing eyelid skin without releasing the existing crease, so the procedure is relatively simple. However, it can only be performed for patients who have enough excess eyelid skin.

Double-fold re-creation is a highly difficult procedure, so consultation with specialized medical staff is important.
On the other hand, for people who do not have enough excess eyelid skin, thick sausage-eye double eyelids can be improved with a skin-preserving method called double-fold re-creation. This method releases the adhesion of the existing crease and then creates a new double-eyelid line.
Double-fold re-creation is a fairly difficult surgery, and the surgeon’s deep understanding of revision double-eyelid surgery and extensive experience are important factors.

Check through a consultation whether double-fold re-creation is possible in your case and whether it is the best method for you.
Then what conditions are needed for a double-fold re-creation revision surgery like this to be completed successfully? First, it is better if the adhesions or scars from the existing double eyelid are not too severe.
Excessive scarring or adhesions may remain even after releasing the double-eyelid adhesion, and if there is enough excess eyelid skin, it is advisable to first consider a resection-based fold-lowering surgery, which may improve the scar more effectively.

If there is enough excess eyelid skin, it may be preferable to consider resection-based revision surgery first.
However, in cases where repeated revision double-eyelid surgeries have left insufficient excess eyelid skin, surgery may inevitably be performed using the double-fold re-creation method. In such cases, improvement of the existing scar may be somewhat limited, but you can discuss the optimal approach through consultation with specialized medical staff.
That concludes our look at double-fold re-creation revision double-eyelid surgery. If you have sausage eyes, you can check whether double-fold re-creation is possible through a consultation with specialized medical staff, and then achieve more natural-looking double eyelids through revision surgery. Thank you.