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Sausage Eye
Revision Surgery

Making unnatural-looking sausage eyes
look more natural through a strict analysis of causes

Eye UniqueINIQUE

Sausage Double Eyelids Ranked as #1
cause for Eye Revision Surgery

Unnatural-looking eyes due to thick, plump double eyelids are called “sausage eyes.”
It is diagnosed as “pachybepharon” or “pretarsal fullness” in medical terms.

What are the causes of sausage double eyelids?

  • 01

    Excessively high double eyelid line

    • Double eyelids that are too high can lead to sausage deformity
    • Double eyelids that are too high can worsen plump eyelids
  • 02

    If blepharoptosis cannot be corrected

    • If double eyelid surgery is done without correcting blepharoptosis, it may produce a sausage deformity, even if the line is not high
    • The eyes may not look defined or may look sleepy
  • 03

    If the fat above the eyes is insufficient

    • If fat is insufficient, double eyelid line may appear big
    • It may produce a tired or aged impression

Natural-looking, beautiful

INIQUE’s Eye Revision Surgery Expertise

  • Aesthetic sense, pursuing natural beauty

    We pursue natural beauty
    that looks like you were born with it.

  • Extensive eye surgery experience & surgical expertise

    More than 1,000 eye surgeries
    and revision surgeries in one year

  • Operating surgeon in
    “Let Me In Thailand”
    Seasons 1-3

    Representative plastic surgery rehabilitation program “Let Me In Thailand” medical team of doctors “Let Me In Thailand” medical team of doctors

QWhen is it possible to have eye revision surgery?

AAfter 6 months or immediately!

In general, revision surgery is possible 6 months after a surgery once the hard scars soften. However, if symptoms are severe and a normal social life is not possible due to the symptoms, revision surgery can be done at any time.

  • eye

Sausage deformity is a side effect that occurs depending on individual characteristics such as a skin condition,
the eyes’ natural wrinkles, and the degree of blepharoptosis.
As a revision surgery method can be different depending on the deformity causes,
it is important to investigate the causes accurately and to establish a revision plan accordingly.

Revision Surgery Plan by
Sausage Double Eyelid Type

Type 1

Double Eyelid Line That is Too High

If a double eyelid line exceeds the range of an appropriate double eyelid height, it will produce a sausage double eyelid.
A revision surgery will produce natural-looking eyelids by lowering the height of double eyelid line while minimizing scars.

The importance of an “appropriate double eyelid size”
The size of a double eyelid is very important in a revision surgery, as well as in the initial surgery. It is important to decide an appropriate height for each person through consultation with a plastic surgeon.

Sausage Eye Revision Surgery

  • If there is excess skin

    If sausage deformity was formed due to double eyelids that are excessively high as the result of a previous operation, the only solution is lowering the double eyelid line.
    In order to have natural-looking eyelids, the skin between the existing high line and a targeted lower line should be resected and the height of double eyelid should be lowered.

  • If there is no excess skin

    The method of lowering the line while preserving the skin, which is also called “a double incision method,” can be used as well. This method resolves sausage deformity by making an incision along a new design and by detaching the existing line while preserving the skin. This challenging method is used only when there is little excess skin. There is the possibility of recurrence and scaring, but an experienced doctor can produce good results.


  • Before
  • After

Type 2

Blepharoptosis Correction

In the case of blepharoptosis, in which the individual has weak eye-opening power,
the eyes look bigger even though the double eyelid line is not high.
When blepharoptosis is resolved through a revision surgery, the double eyelid line sinks
a little and looks smaller while the eye lids look natural.

Same height of double eyelid line Change in the thickness
of double eyelid
Change of eye size

Before blepharoptosis correction After blepharoptosis correction

In the case of Blepharoptosis, a double eyelid line may look thick.
Through revision surgery, this symptom can be reduced.


  • Before
  • After

Type 3

Insufficient Fat on the Eyelid

In the case of insufficient fat on the eyelid, double eyelids may appear bigger.
Double eyelids are considered wrinkles on the eyelid.
As the double eyelid skin folds along the double eyelid line, the skin above the line ends up covering the lower skin.
The sunken eye that appears due to insufficient fat on the eyelid is called “sunken eyelid.”

  • 01

    In the case of insufficient fat on the eyelid, the skin above the line cannot
    fully cover the lower area. As a result, double eyelid line appears bigger
    and it may give a tired, aged impression.

  • 02

    In this case, filling the upper skin with fat or filler can produce good results.
    Filling with an appropriate amount in an accurate location is important
    to produce good results.


Focuses on natural-looking beauty


  • More than 1,000 eye surgeries and revision surgeries in one year
  • Operating surgeon on “Let Me In Thailand” Seasons 1-3
  • Received award from the Ministry of Health and Welfare Officially
    recognized expertise through textbooks and thesis presentations
  • Unique technology patented in the Korean Intellectual Property Office
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