Double Eyelid Revision Surgery: Lowering ‘Sausage Eyes’ and Post-Surgery Review

A 50-year-old woman visited our clinic for double eyelid revision surgery.

She had undergone two previous surgeries at other hospitals, and her main complaint was that her double eyelids were excessively high, making her eyes look awkward and artificial. This is commonly referred to as ‘sausage eyes,’ and severe incision scars also contributed to an unnatural appearance.

It was a risky situation, especially because she had insufficient skin, and excessive skin removal could lead to complications such as difficulty closing her eyes.

The patient's biggest wish was to lower her double eyelid line and regain a natural eye shape.

🔹 Surgical Approach

Re-incision was necessary to lower the double eyelid height.

To lower the line, ptosis correction (blepharoptosis surgery) had to be performed concurrently.

The key was to minimize skin excision while safely removing scar tissue and accurately locating the levator muscle.

During the surgery, despite severe existing scar tissue, the muscle was carefully located, left-right asymmetry was corrected, and a new line was designed.

🔹 Surgical Results

Ultimately, the patient was able to regain the natural and comfortable eye shape she desired.

The previously high double eyelids were lowered, softening her overall impression, and it is expected that opening her eyes will become much more comfortable once recovery is complete.

Conclusion

Overly high double eyelids, noticeable double eyelids, or what are known as ‘sausage eyes,’ often require correction.

Especially in the case of revision surgery, the difficulty is high due to scar tissue and insufficient skin, so it must be performed safely after a thorough diagnosis.

With a careful approach, satisfactory results can be achieved, and a significant improvement in overall impression can be expected.

Frequently Asked Questions

What are ‘sausage eyes’ double eyelids?

‘Sausage eyes’ double eyelids refer to a shape where the double eyelid line is excessively high, making the eyes look awkward and artificial. Often, severe incision scars contribute to an unnatural eye appearance.

Is it possible to lower a high double eyelid line?

Yes, it is possible. To lower a high double eyelid line, re-incision is necessary, and ptosis correction (blepharoptosis surgery) must be performed concurrently to redesign the line. Existing scar tissue is removed, and the levator muscle is accurately located and corrected.

What should be considered during double eyelid revision surgery?

During double eyelid revision surgery, existing scar tissue and insufficient skin must be carefully considered. It is particularly important to minimize skin excision while safely removing scar tissue and accurately locating the levator muscle.

Is double eyelid revision surgery a difficult procedure?

Yes, double eyelid revision surgery is considered a difficult procedure. This is especially true when there is severe scar tissue and insufficient skin. Therefore, it must be performed safely and carefully after a thorough diagnosis to achieve satisfactory results.

Can difficulty closing the eyes occur after revision surgery?

Yes, it is possible. Especially when there is insufficient skin and a large amount of skin is excised, complications such as difficulty closing the eyes can occur. Therefore, minimizing skin excision is crucial.