If the double eyelid line is set too thick, how should revision surgery be approached?

Source: TS Plastic Surgery website

The eyes play an important role in first impressions, and among cosmetic surgeries, they are one of the most frequently consulted areas.

However, eye cosmetic surgery should be approached carefully, and there may be cases where side effects occur or the desired results are not achieved.

For this reason, sufficient consultation and planning before the procedure are important.

One of the representative situations that can occur after eye cosmetic surgery is the so-called “sausage eye.”

This refers to a condition in which the double eyelid line is made excessively thick, creating an unnatural line,

which can make the overall impression of the eyes look awkward or unnatural.

In such cases, revision surgery may be considered,

and today we will look at ways to improve side effects such as sausage eye.

Causes of sausage eye after double eyelid surgery

Source: TS Plastic Surgery website

Let’s look at the main causes of sausage eye after double eyelid surgery.

If the skin or fat of the eyelid is not properly removed, excess volume may remain, making it difficult to create a natural line.

Conversely, if too much skin or fat is removed, the eyelid may become excessively thin and look unnatural.

Also, if the double eyelid line is set too high, excessive pulling can occur when opening the eyes,

which can reduce the natural appearance. It is important to set an appropriate line according to each person’s eye structure.

An overly thick double eyelid line may form due to incorrect design or surgical method.

To prevent these problems, a thorough analysis and an accurate approach tailored to each patient’s eye condition should be considered.

Sausage eye double eyelid revision surgery methods

The method for double eyelid revision surgery

can be divided into two types depending on the condition of the eyes

If there is not enough excess skin, the two-line method may be considered.

The two-line method releases the existing double eyelid line while forming a new line below it.

Because it does not involve skin excision, it can be applied to various revision cases and can reduce the risk of side effects.

The two-line method is a high-difficulty procedure in which the existing double eyelid line is not removed; instead, the aponeurosis and adhesions are sufficiently released

before creating a new line. Careful attention is necessary because if the adhesions are not sufficiently released, an unnatural line may form.

TS Plastic Surgery sausage eye revision case before surgery 2023.06.22

TS Plastic Surgery sausage eye revision case 4 months after surgery 2023.10.22

Sausage eye revision surgery adjusts the line with the two-line method or excision method according to the patient’s eye condition,

and depending on each individual’s eye condition and symptoms, fat repositioning, ptosis correction, or canthoplasty may be performed in combination.

This case is an example of sausage eye revision surgery,

and the goal was to naturally improve the eye shape by adjusting the in-out line and correcting asymmetry and uneven eyes.

In addition, epicanthoplasty was carefully performed according to the patient’s needs and eye condition, with the goal of improving the epicanthic fold.

Eye revision surgery requires an accurate plan for how to address the problems that occurred in the first surgery, along with analysis of the cause.

Therefore, it is important to have a customized approach through consultation with experienced medical professionals.

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

This is an example image provided to aid understanding.