Q. I had surgery, but the swelling has stayed the same for years. Is this a sausage eye? Can swelling really not go down for years?ㅠㅠ

Hello~ This is AB Plastic Surgery.

We will select one of the many questions you have sent us and answer it through our blog!

Swelling is generally expected to subside, including minor residual swelling, within 6 months.

Therefore, if the area still feels puffy after several years, it is more likely that the cause is not swelling but something else.

The eyelids are made up of various tissues such as skin, muscle, and fat.

(Reprinted from Neligan, P.C., Buck, D.W. [Eds.], 2013. Core Procedures in Plastic Surgery. Elsevier, 1–22.)

If the tissues you originally have are thick, even after eye surgery that thickness may remain and can create a puffy feeling.

Of course, some fat can be removed, but the more that is removed, the more likely it is to create a triple eyelid or interfere with the eyelid’s gliding function, so it cannot simply be removed in large amounts.

Also, thinning the skin too much can cause necrosis, so this is even less possible.

This thickness of eyelid tissue becomes greater as you move upward.

If the crease is made higher, this tissue thickness can become more noticeable and make the eyes look like “sausage eyes.”

For people whose eyes and brow bone are close together, compared with those who are not, even a crease at the same height may form in an area where the eyelid tissue becomes thicker.

Therefore, in such cases, even if you prefer a more dramatic look, it is better to avoid a high crease.

Also, in midlife eyelid surgery, there is often a lot of stretched skin, and the excess amount is removed accordingly. However, if skin is excised around the crease, the thin and thick parts of the eyelid may suddenly meet, creating an awkward appearance, and this follows the same principle.

Because the condition of the eyelid tissue differs from person to person, the appropriate surgical method also differs by individual.

If it has been a long time since surgery and your eyes still feel like “sausage eyes,”

it is possible that the crease does not match your eyelid environment.

We recommend visiting the clinic in person to consult about the surgical method that is right for you!