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Differences Between One-Line and Two-Line Correction and Causes of Sausage Eyes

MIHO Plastic Surgery · 미호성형외과의원 : 전문의 4인의 눈 코 바른성형 · May 6, 2026

Differences Between One-Line and Two-Line Correction and Causes of Sausage Eyes You may have spent a lot of money and time to create a double eyelid, only to feel upset because the...

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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: MIHO Plastic Surgery

Original post date: May 6, 2026

Translated at: May 6, 2026 at 1:47 PM

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

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You may have spent a lot of money and time

to create a double eyelid,

only to feel upset because the line seems to have finished too thickly.

At first, you may think it is just swelling

and wait for it to go down,

but if it continues to look awkward and heavy,

your worries can only grow.

This kind of case is often described with the term

"sausage eyes."

In short, it refers to a state in which the upper tissue folds too thickly,

making the area look excessively high and puffy.

In such cases, correction using methods such as

one-line or two-line revision may be needed.

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The reason this is a problem is that

when the eyes are open, the fold does not look thin and natural,

but instead curls upward in a thick shape,

making the impression appear heavy

and stuffy.

Especially when no makeup is applied,

this shape stands out even more,

which can also become a source of stress.

The cause of this appearance

is swelling that lasts for a long time.

This is because poor blood circulation

or thick skin can leave someone swollen longer than others.

Microscopic bleeding or lymphatic congestion can also

prolong edema and act as a factor that makes

two-line correction necessary.

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Even in cases where the body constitution tends to have a strong inflammatory response,

the tissue can become firm and continue to look swollen.

These cases usually improve gradually over time,

but if they last for several months,

it is difficult to regard them as simple edema alone.

Other structural causes

must also be checked.

It is important to comprehensively examine

whether the double-eyelid line is in the proper position,

how thick the eyelid skin is,

how much internal fat there is,

and whether there is scarring or adhesion,

and then plan a correction method

such as two-line revision.

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If the line has been set too high,

the skin that folds when the eyes open

will curl upward in a thick layer,

creating unnatural volume.

If the tissue around the incision line has also

hardened and become firm,

it can stand out even more.

This is because natural movement

is restricted.

As such, not only the height of the double eyelid

but also factors such as fat distribution and the degree of adhesion

may work together in complex ways,

so before looking into improvement methods,

it is important to carefully examine the current condition.

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One method for correcting this problem

is one-line revision.

This is a method of achieving improvement

within a single incision line based on the existing double eyelid.

It is advantageous when the line is not set very high

and the adhesion is not severe.

The incision is relatively simple,

and because it does not significantly disturb other tissues,

it allows fine adjustments,

and the healing process is relatively stable.

However, there needs to be some spare skin

for natural-looking results to be expected.

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On the other hand,

two-line revision can be understood as a somewhat more active

corrective method used when the skin above the eye is insufficient

or the existing double-eyelid line is too high and therefore unavoidable.

This is because it involves handling both

the previously high double eyelid

and the newly created lower line at the same time.

The key point is to release the unnatural adhesion through this process.

To put it simply, it is a method of reorganizing the structure itself.

In this process, it can also help reduce scarring

and normalize movement between tissues.

However, compared with one-line revision,

it is more difficult,

so a more delicate approach by a medical team with abundant experience is needed.

Differences Between One-Line and Two-Line Correction and Causes of Sausage Eyes image 7

This correction method involves a much more complex process

than simply lowering the line.

If conditions such as existing scarring, adhesion,

and the amount of spare skin are not suitable,

a new double eyelid is harder to settle naturally.

If eyelid strength is weak,

ptosis correction may also need to be performed together

to achieve balanced results.

It is not applied in exactly the same way to everyone,

but as the incision range generally becomes wider,

the healing stage must also be carefully considered.

Therefore, detailed discussion with the medical team

and a proper diagnosis should come first.

Differences Between One-Line and Two-Line Correction and Causes of Sausage Eyes image 8

In the end, what matters is not simply drawing a new line,

but first analyzing why the sausage-eye appearance developed.

It is important to consider how the internal eyelid tissue is attached

and how strong the adhesion is.

It is also necessary to check whether the muscle that opens the eyes

is functioning normally.

Only when these factors are balanced

can a natural result finally be achieved.

Therefore, it cannot be definitively said that one-line or two-line revision is better;

the key is to choose the method that fits each person's condition.

Differences Between One-Line and Two-Line Correction and Causes of Sausage Eyes image 9

If you want to address the existing and new lines at the same time,

you should visit a medical institution known for a high level of precision.

If you visit a place where medical staff with experience handling various cases are available,

you may receive help with making more detailed judgments

based on their extensive experience.

In addition to closely analyzing each person's eye condition,

they should also realistically explain the possible outcomes.

It would be even better if they also had a system

that can systematically manage the healing process afterward.

Differences Between One-Line and Two-Line Correction and Causes of Sausage Eyes image 10

A place with the characteristics described above

is Miho.

With experienced medical staff on site,

they help set an improvement direction through sufficient discussion,

along with detailed diagnosis and planning,

and they also have equipment that can monitor each person's vital signs

in real time.

If needed, referral to a higher-level medical institution is also possible,

so you can undergo surgical treatment with greater peace of mind.

Even when it comes to improving sausage eyes,

we promise to consider the advantages and disadvantages of both

one-line and two-line revision

and determine the method that is more suitable for each person.

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