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How to Avoid a Sausage-Like Eye After Double Eyelid Surgery by Choosing the Right Crease Height

Objet Plastic Surgery · 오브제성형외과의원 · July 28, 2026

Double Eyelid Crease Height To avoid a sausage-like eye after double eyelid surgery, this is the key! ​ ​ ​ ​ ​ ​ Hello. This is 오브제성형외과. ​ ​ Before double eyelid surgery, many peo...

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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: Objet Plastic Surgery

Original post date: July 28, 2026

Translated at: August 17, 2026 at 4:17 PM

Medical note: This translation does not guarantee medical accuracy or suitability for treatment decisions.

Double Eyelid Crease Height

To avoid a sausage-like eye after double eyelid surgery, this is the key!

How to Avoid a Sausage-Like Eye After Double Eyelid Surgery by Choosing the Right Crease Height image 1

Hello.

This is 오브제성형외과.

Before double eyelid surgery,

many people say,

“Please make the crease high from the beginning, because it will become lower once the swelling goes down.”

You may have heard

something like this

from people around you at least once.

There are also many people

who genuinely believe

that this is how they will achieve

beautiful-looking eyes later on.

However, it is not widely known

that this one decision

can lead to a sausage-like appearance

after double eyelid surgery.

So today,

I will explain step by step

why setting the crease excessively high

to account for swelling

can be risky,

why the results can differ from person to person

even when the same measurement is used,

and how to determine

the appropriate double eyelid crease height.

How to Avoid a Sausage-Like Eye After Double Eyelid Surgery by Choosing the Right Crease Height image 2

If you read to the end,

you will clearly understand

the key points to check

during your consultation before surgery.

Why “Please make it high”

can be risky

Immediately after surgery,

the tissue swells,

so the double eyelid crease

often appears higher than it actually is.

As time passes,

the swelling subsides

and the tissue settles,

allowing the crease to take its natural position.

Looking only at this,

it is easy to think,

“That means it should be made high at first.”

In reality, however,

it is a little different.

It is true that the crease may appear lower

as the swelling goes down,

but the crease itself created by surgery

does not actually move down significantly.

In other words, if it is set too high initially,

that position may remain

even after the swelling subsides.

There is one more point

you should know.

The amount of swelling that subsides

is not the same for everyone.

The degree of change varies from person to person

depending on the thickness of the eyelid skin,

the amount of fat,

and the speed at which the tissue recovers.

Therefore, the standard of

“It suited someone else perfectly

after their swelling went down”

may not suit your eyes.

How to Avoid a Sausage-Like Eye After Double Eyelid Surgery by Choosing the Right Crease Height image 3

If the tissue below the crease

remains full in this situation,

it may create a sausage-like appearance

after double eyelid surgery.

Even when your eyes are closed,

the crease may stand out,

and when your eyes are open,

the eyelid may fold thickly,

making your overall expression look heavy.

In addition, depending on the individual eye structure,

including the elasticity of the eyelid skin

and the distribution of fat,

a double eyelid crease created at an excessively high position

may actually be more likely to loosen.

Ultimately, the most important point

when determining double eyelid crease height

is not to create a high crease

to account for swelling,

but to find the appropriate position

that suits your own eye structure.

How to Avoid a Sausage-Like Eye After Double Eyelid Surgery by Choosing the Right Crease Height image 4

The same number of millimeters,

but the “real reason”

the results differ

Many people also come to consultations

with a specific measurement in mind,

saying, “Please make it ___ mm.”

However, even the same 8 mm

can look completely different

from person to person.

How to Avoid a Sausage-Like Eye After Double Eyelid Surgery by Choosing the Right Crease Height image 5

This is because

everyone’s eye structure is different.

First, eyelid skin thickness varies.

For someone with thin skin,

the crease may look more defined and prominent

even at the same measurement,

while for someone with thicker skin,

the crease may not be as visible

even at the same measurement.

Next, there is the influence

of the epicanthal fold.

Depending on its size and position,

the shape of the eyes can differ,

including an inner line, an in-out line,

or a semi-out line.

Even when the same double eyelid crease height

is applied,

the overall impression can change significantly

because of the epicanthal fold alone.

Eye length

and the strength of the muscles that open the eyes

also have an effect.

For someone with short eyes,

a crease of the same measurement

may look thicker and blunter,

while someone with weaker eye-opening strength

may not expose enough of the crease,

making it appear lower than it actually is.

Above all,

double eyelid crease height

cannot be determined by looking only at the eyes.

How to Avoid a Sausage-Like Eye After Double Eyelid Surgery by Choosing the Right Crease Height image 6

The suitable position is determined

within the overall proportions of the face,

including the face shape,

nose,

and the distance between the forehead and eyebrows.

Someone’s eyes look attractive

because they harmonize with that person’s face.

Simply copying the same crease

can create a completely different impression.

Double eyelid crease height:

what to be sure to check during your consultation

During the consultation before surgery,

it is important not to simply decide on a measurement,

but to check whether there is a process

of simulating creases at various positions.

How to Avoid a Sausage-Like Eye After Double Eyelid Surgery by Choosing the Right Crease Height image 7

This involves finding

the most natural and suitable

double eyelid crease height

by considering not only the position of the crease,

but also the shape of the inner corner,

the curve,

the overall impression of the face,

and the balance between the two sides.

If surgery is performed

based only on a measurement

without this process,

the likelihood of an outcome

different from what was expected increases.

How to Avoid a Sausage-Like Eye After Double Eyelid Surgery by Choosing the Right Crease Height image 8

In particular, if the crease is set excessively high

without considering the eye structure,

thick eyelid tissue may remain,

creating a sausage-like appearance

after double eyelid surgery,

and depending on the condition of the eyelids,

the double eyelid may instead

be more likely to loosen.

How to Avoid a Sausage-Like Eye After Double Eyelid Surgery by Choosing the Right Crease Height image 9

More important than the measurement

is the process of accurately finding

the appropriate position for your eyes.

Today, we discussed

why setting the crease high

during double eyelid surgery

may not be the best choice,

as well as why the results can differ

from person to person

even with the same measurement.

Here are the points

that are worth remembering

before surgery:

Even after the swelling goes down,

the crease itself created by surgery

does not move down significantly;

Even with the same number of millimeters,

the visible result can vary depending on

the thickness of the eyelid skin,

the epicanthal fold,

eye length,

and facial proportions;

and the position should be determined

not by a measurement alone,

but in harmony with the eye structure

and the face as a whole.

How to Avoid a Sausage-Like Eye After Double Eyelid Surgery by Choosing the Right Crease Height image 10

During double eyelid surgery consultations

at 오브제성형외과,

Director 박시현 considers

the eye structure and facial proportions together,

including the thickness of the eyelid skin,

the size of the epicanthal fold,

the strength of the muscles that open the eyes,

and eyelid elasticity,

to determine the appropriate position.

How to Avoid a Sausage-Like Eye After Double Eyelid Surgery by Choosing the Right Crease Height image 11

We place importance on the process

of directly simulating creases at various positions

and finding the most harmonious appearance of the eyes

within the overall proportions of the face.

Finding an appropriate position

that remains natural over time,

rather than simply creating a dramatic, high crease,

can help improve satisfaction.

If you are considering surgery,

we recommend beginning with a consultation

that considers your eye structure

and facial proportions together.

This has been 오브제성형외과.

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  • This post is medical information prepared by 오브제성형외과의원 in compliance with the Medical Advertising Act.

  • The effects of the procedure may vary from person to person, and side effects may occur.

We recommend that you decide whether to undergo the procedure only after having a sufficient consultation with a medical professional in advance.

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