If You’re Stressed by a Failed Eyelid Surgery, “Sausage Eyes,” or Thick Double Eyelids?

Double eyelid surgery is considered one of the common eye surgeries performed by modern people. This is because it contributes to improving appearance by adjusting the size and shape of the eyes through a relatively simple method. However, there are also many cases where the initial surgical results are unsatisfactory, leading people to consider revision double eyelid surgery. In particular, many people report stress due to a double eyelid line that is excessively high or a thick double eyelid line commonly referred to as “sausage eyes.”

What Are Sausage Eyes?

This refers to a state in which, even after enough recovery time has passed following double eyelid surgery, the line remains thick like a sausage as if the swelling has not gone down. Sausage eyes generally refers to cases where the width of the double eyelid is 8 mm to 10 mm or more. It is natural for the double eyelid line to appear swollen due to post-surgical swelling immediately after the procedure, but in most cases, the swelling subsides in about three months and the eyes become natural-looking. However, in the case of sausage eyes, the characteristic is that the swelling does not disappear even after a long time and remains persistently puffy.

The main causes of sausage eyes include overly aggressive line design in the first surgery, a line positioned lower than the incision line, incomplete removal of fatty tissue, surgery performed without correcting ptosis, and fat removal. These problems are generally known to be correctable only through revision surgery.

Then, what methods are available for VN sausage-eye revision surgery?

First, the method differs depending on the amount of excess skin. If there is enough excess skin, sausage eyes can be improved by lowering the line, which involves making an incision along the existing double eyelid incision line used in the first surgery and removing the extra skin below it. If there is not enough excess skin, sausage eyes can be improved with a double-line technique, in which the area below the muscle that closes the eye and the area below the septum are each separated to thoroughly release the adhesions, and then a suitable new line is formed.

At VN Plastic Surgery Clinic, we take the height of the double eyelid and the balance of the eye shape into account, adjust the double eyelid line to the desired height, and strive to create differentiated results so that functional eye problems can be resolved and recovery can be faster with less swelling and scarring.

In the case of the line-lowering and double-line techniques for sausage-eye revision surgery, the procedures are complex and highly difficult. It is important to accurately identify the problems from the first surgery and determine the surgical method and double eyelid design according to the amount of excess skin. If this calculation is not done precisely, it can result in a double double eyelid or, conversely, even thicker sausage eyes. At VN Plastic Surgery Clinic, we analyze the condition through systematic one-on-one assessment and sufficient consultation, propose customized solutions according to each individual’s type, and strive to improve the eyes into a natural shape that suits each person while minimizing tissue damage and reducing scars and side effects. In addition, we strive to deliver more satisfying surgical results through a systematic post-operative care system.

As revision surgeries are repeated, not only does the next revision become more difficult, but recovery itself also becomes slower and more challenging. Therefore, if choosing a single revision surgery, it is very important to carefully and thoroughly research and decide on the surgeon. At VN Plastic Surgery Clinic, we continuously research and work hard to prevent the same mistakes from being repeated and to provide more satisfying results.