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If You’re Considering a Revisional Surgery for “Sausage Eyes”

MIHO Plastic Surgery · 미호성형외과의원 : 전문의 4인의 눈 코 바른성형 · October 29, 2025

If You’re Considering a Revisional Surgery for “Sausage Eyes” When the swelling period has passed, but the crease is still set too thick and the eyes look puffy and swollen, we cal...

AI translation notice

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: MIHO Plastic Surgery

Original post date: October 29, 2025

Translated at: April 23, 2026 at 1:32 AM

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

If You’re Considering a Revisional Surgery for “Sausage Eyes” image 1

When the swelling period has passed, but

the crease is still set too thick and the eyes

look puffy and swollen,

we call this “sausage eyes.”

This eye shape was one of the 대표적인 side effects

that can occur after double eyelid surgery.

When the result differs from what was expected, or

when you hear many negative comments from people around you,

you may start considering revisional surgery for sausage eyes.

You may think about trying again because the line or shape

doesn’t look natural, but it is also performed for corrective purposes.

If You’re Considering a Revisional Surgery for “Sausage Eyes” image 2

Cases in which revision is performed include

when the crease is excessively wide,

or when it looks deeply sunken,

and when a scar remains clearly visible

every time the eyes are closed.

Revisional surgery for sausage eyes focuses on

identifying the cause of the problem and correcting it

so that the eye shape suits me well.

Because an incision has already been made once

and tissue has been damaged,

the level of difficulty is higher than the first procedure.

To prevent a second or third revision,

it is necessary to make a clear diagnosis

based on a careful analysis before proceeding.

If You’re Considering a Revisional Surgery for “Sausage Eyes” image 3

At our clinic,

medical staff with extensive know-how and experience

in revisional surgery for sausage eyes handled the procedure directly.

Only by closely understanding and analyzing

the problems from the first surgery and

what the patient is dissatisfied with

can the current condition be improved stably.

Rather than focusing only on making a thick crease thinner,

we considered each person’s image and desired direction

to develop and apply a customized design.

In addition, we finished with fine suturing

to help reduce scarring.

If You’re Considering a Revisional Surgery for “Sausage Eyes” image 4

If the double eyelid line is too thick,

if scars remain severe,

or even if inflammation has occurred,

it can still be corrected if the cause is clearly identified

and addressed properly.

The key point of this solution

was to remove the artificial look and create

a natural eye shape.

Revision or a first attempt for the inner or outer corner of the eyes

could also be performed at the same time.

If the inner or outer corner had been opened too much,

part of it could be closed.

Conversely, by opening it more clearly,

we could enlarge the eyes and make the overall image

appear more striking.

If You’re Considering a Revisional Surgery for “Sausage Eyes” image 5

Not only revisional surgery for sausage eyes,

but any type of revision had to be done only after at least 6 months.

On average, it takes about half a year for the tissue

to stabilize sufficiently,

and if it is incised too hastily before then,

adhesions or scarring may occur.

If an inflammatory response develops,

you should take anti-inflammatory medication

to help the red, swollen area subside.

However, if tissue changes caused by necrosis begin to appear,

the affected area must be incised again without delay

to correct the problem.

If pain and swelling do not improve after the procedure

and instead become progressively worse,

the likelihood of inflammation or necrosis is high.

In that case, you should visit a medical institution immediately.

If You’re Considering a Revisional Surgery for “Sausage Eyes” image 6

The situations in which revision is desired or needed

are very diverse.

Cases included when the line was formed in an overly burdening way,

or when it was so close to the eyelashes

that it was barely noticeable,

and cases where a buried-suture method was used

but then loosened and returned to the previous state.

There were also cases where the double eyelid became two or three layers,

or where the left and right eye shapes were different.

Even when there was no visible problem,

some people chose to try again because they themselves

were not satisfied.

If You’re Considering a Revisional Surgery for “Sausage Eyes” image 7

Revisional surgery for sausage eyes had to be approached

more carefully than the first procedure.

Because an incision had already been made once,

it had to be performed delicately along that line

so that multiple eyelid folds would not form.

There was also the issue of deep scarring.

It may look fine when the eyes are open,

but when closed, a deep incision mark

like a chop wound from an axe can remain.

To create a beautiful appearance both when the eyes are open and closed,

it was necessary to improve the previous problems

while also enhancing the overall result.

Since the eyes are especially one of the most important

parts of the face, our clinic assigned medical staff

with abundant experience and excellent technical skill in this area.

If You’re Considering a Revisional Surgery for “Sausage Eyes” image 8

The procedure time could take a little longer than the first attempt,

but it was usually completed in about 1 to 2 hours.

The recovery process after the procedure was

almost the same as after the first surgery.

For the first few days, swelling and pain may be felt,

and depending on the person, bruising could spread widely

around the area.

Within 1 to 2 weeks, you can resume daily life as before,

and after the stitches are removed,

light face washing and makeup are possible.

If You’re Considering a Revisional Surgery for “Sausage Eyes” image 9

It is important to correct the failure of the first attempt,

but the best course is to avoid needing a revision in the first place.

If you carefully choose the medical institution and medical staff

from the beginning, clearly express your needs,

and proceed with the surgery,

I thought you would be less likely to be deeply disappointed

with an undesired outcome.

Even during consultation, rather than asking for a trendy shape

or telling the surgeon to design it however they see fit,

you should clearly identify the characteristics of your own face

and ask them to suggest a shape that suits you well.

If you have something you want, actively expressing it

is also a good approach.

If You’re Considering a Revisional Surgery for “Sausage Eyes” image 10

At our clinic, the attending doctor was directly responsible

for everything from consultation to the procedure

and aftercare.

Even for revisional surgery for sausage eyes,

we identified why such a result occurred

and suggested an appropriate alternative.

If the nose, mouth, and chin are compact and appear traditionally East Asian,

but only the double eyelid line is dark and thick,

the overall balance can be disrupted and look awkward.

If deep, dark incision marks are also left on the eyelids,

they can feel burdensome to others as well.

If you are deeply concerned about these issues,

we hope you will take plenty of time to think it over

before deciding and work toward improving your eye shape.

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