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Double Eyelid Revision Surgery: From Puffy "Sausage Eyes" to Eye Shape Correction

TS Plastic Surgery · 티에스성형외과 · November 23, 2022

Eyelid plastic surgery has now become a procedure that people of all ages and genders consider at least once. There are many different types, from surgery that creates a double eye...

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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: TS Plastic Surgery

Original post date: November 23, 2022

Translated at: April 23, 2026 at 2:27 AM

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

Eyelid plastic surgery has now become a procedure that people of all ages and genders consider at least once.

There are many different types, from surgery that creates a double eyelid line to surgery that gently improves the eye shape.

Because it does not use implants, it is relatively less burdensome, so many people choose it.

However, as the number of people undergoing surgery has increased, cases of considering revision surgery have also increased.

Why consider incision-based eyelid revision surgery?

Double Eyelid Revision Surgery: From Puffy "Sausage Eyes" to Eye Shape Correction image 1

Double Eyelid Revision Surgery: From Puffy "Sausage Eyes" to Eye Shape Correction image 2

Source: TS Plastic Surgery website

Double Eyelid Revision Surgery: From Puffy "Sausage Eyes" to Eye Shape Correction image 3

Double Eyelid Revision Surgery: From Puffy "Sausage Eyes" to Eye Shape Correction image 4

Source: TS Plastic Surgery website

✔️ When the double eyelid line is formed too strongly, creating thick-looking eyes (commonly called "sausage eyes")

✔️ When the line loosens or becomes asymmetrical

✔️ Double-fold eyelids, severe scarring, overcorrected eye shape, and more

Many people consider revision surgery because of these various problems.

In particular, some cases involve revision surgery five times or more, so careful consideration from the start is necessary.

How can sausage eyes be improved?

Improving sausage eyes requires a customized approach depending on the condition of the eyes.

✔️ If there is not enough excess skin: the "double-line method"

This surgery releases the existing double eyelid line and creates a new line at a lower position.

By loosening the adhesion, the existing line remains like a wrinkle and is less noticeable.

✔️ Using fat grafting or repositioning

This can help improve lines that remain even after surgery.

The surgical method changes depending on the degree of the problem, so consultation with a specialist is essential.

Revision surgery for eye shape correction starts with a thorough diagnosis

Double Eyelid Revision Surgery: From Puffy "Sausage Eyes" to Eye Shape Correction image 5

Source: TS Plastic Surgery website

The key to revision surgery for eye shape correction is accurately analyzing the cause of the failure.

✔️ Thorough analysis of the functions of the levator palpebrae superioris muscle and Müller's muscle, which are responsible for opening the eyes

✔️ Triple fixation of the orbicularis oculi muscle, tarsal plate, and levator palpebrae superioris muscle

✔️ Even with an incision method, the procedure is performed carefully so that scars are less visible, minimizing even the double eyelid scars that may be a concern.

Many people feel burdened by eyelid revision surgery and are afraid it might fail again.

However, rather than worrying alone,

it is important to find a safe and natural improvement method through sufficient consultation with experienced medical staff.

Work with an experienced specialist to clearly identify the cause of the problem and improve it with a method that suits you.

※ Depending on the individual, side effects such as inflammation, bleeding, and nerve damage may occur, so sufficient consultation with the medical staff before surgery is necessary.

This is an example image to help with understanding.

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