2026-05-24
Fixing ‘Sausage Eyes’: A Third Revision Eyelid Surgery Success Story
A 30-year-old female successfully corrected thick sausage eyelids and asymmetry through a third revision surgery using the double-line excision technique.
* Basic Information
# Female in her 30s
# Medical History: Non-incisional ptosis correction (performed twice previously)
# Patient Concerns: Wants to correct thick, ‘sausage-like’ double eyelids and asymmetry. Also wishes to address the hollow appearance of the upper eyelids.
* Consultation
# The primary concerns are weak eye-opening strength and double eyelids that fold thickly like sausages.
# Due to a lack of excess skin, we planned to lower the line using the ‘double-line excision’ (du-jul-tta-gi) technique to correct the sausage appearance. Additionally, ptosis correction was planned to improve eye-opening strength for a clearer, more defined look.
# Upper eyelid hollowness was addressed through fat repositioning.
* Surgical Plan
# Incisional Ptosis Correction (3rd Revision Surgery)
- Double-line excision, sausage eyelid correction
- Upper eyelid fat repositioning
* Post-operative Progress
# By correcting the sausage effect and performing ptosis correction, a clear and refreshing eyelid line was achieved.
# Through the double-line excision method, we strived to make the eyes look as natural as possible, as if it were the very first surgery.
# The patient was most concerned about left-right asymmetry and desired an ‘in-out’ line. We focused on creating the most natural symmetry possible!
Consultations and surgeries should always be performed by a board-certified plastic surgeon!
VIBE coming from rich experience.
Dr. Yoo Young-moon, Representative Director of VIBE Plastic Surgery
VIBE Plastic Surgery complies with all medical laws. These before-and-after photos were taken under identical conditions with the patient’s consent. Complications and side effects such as bleeding, inflammation, infection, and asymmetry may occur after surgery and vary by individual; caution is advised.
Frequently Asked Questions
How is sausage eye revision surgery performed?
Yes, sausage eye revision surgery can correct the existing line by lowering it through the 'double-line incision' method, and create clear eyes by improving the strength of eye opening with ptosis correction surgery. In this case, the surgery was performed using this method.
Can sunken eyelids also be improved during eye revision surgery?
Yes, sunken eyelids can be resolved together during eye revision surgery through fat repositioning. In this case, we planned and proceeded to improve the sunken eyelids with fat repositioning.
Can eye asymmetry also be corrected with eye revision surgery?
Yes, eye asymmetry can be corrected through eye revision surgery. In this case, the patient was most concerned about left-right asymmetry, and we strived to create the most natural symmetry possible.
In what cases is double-line incision surgery necessary?
Double-line incision surgery is necessary when you want to correct a double eyelid line that folds thickly like a sausage. It helps to lower the existing line and create the most natural and refreshing eye shape possible.
What kind of line can be created after eye revision surgery?
After eye revision surgery, a clear and refreshing line can be created. In this case, the patient wanted an in-out line, and we completed the most natural line possible through the double-line incision method.