Hi, I am Dr. Park Sung-ho, a plastic surgeon from AB Plastic Surgery Clinic.

Today, I'd like to talk about the causes of "sausage eyelids" and effective methods for revision eye surgery.

Q. What are sausage eyelids?

Sausage eyelids are a condition in which the area below the double eyelid line appears swollen after double eyelid surgery.

Sausage eyelids refer to a condition where the eyelid crease appears unnaturally thick and swollen after double eyelid surgery, looking much like a sausage.

This can make the eyelids look heavy and give the impression that they are always swollen.

The result is that many people are dissatisfied with the thick or protruding double eyelid line.

This eye condition occurs due to a combination of individual eye characteristics and surgical factors.

If there is a lot of fat in the eyelid or the skin is thick, or if an excessively high outline is desired, there is a possibility of sausage eyes.

Additionally, if ptosis is not corrected or if too much muscle and soft tissue is removed during surgery, sausage double eyelids may occur.

Q. What are the methods for correcting "sausage eyelids" through eye revision surgery?

"Sausage eyelids" can be improved using the most appropriate surgical method based on the patient's condition.

To correct "sausage eyelids," the surgical approach must be chosen based on the patient's eye condition and the specific needs for revision.

1. Two Layer Fixation: This method is suitable for cases with a lack of excess skin. It involves releasing the existing adhesion to form a new line and performing fat repositioning to prevent the formation of a double crease. Appropriate ptosis correction is also performed simultaneously.

Before and after of Two Layer Fixation

Before and after of Two Layer Fixation

2. Line Lowering Method: This method is applicable when there is a sufficient amount of excess skin. The existing adhesion is released, scar tissue is removed, and the tissue is pulled down and fixed in a new, double-anchored position. This also involves ptosis correction to achieve a more natural result.

Before and after of Line Lowering Method

Before and after of Line Lowering Method

3. Line Lifting Method: This approach is suitable for cases where the existing line is unsatisfactory, has loosened, or is asymmetrical. The old scar tissue is removed to correct issues like loosening, asymmetry, or uneven eyes, and the eyelid crease is firmly secured in a new position.

Before and after of Line Lifting Method

Before and after of Line Lifting Method

Q. What are the key points of double eyelid revision surgery?

The core of revision eye surgery is precise and customized correction tailored to the patient's unique eye condition.

Upper Eyelid Fat Repositioning: This helps prevent multiple creases and creates a natural-looking double eyelid line.

Customized Line Design: The surgeon designs a customized eyelid crease at your desired height, ensuring an optimal, personalized result.

Double Dissection and Scar Removal: By performing a double dissection, existing scar tissue is removed to create a more natural-looking eye shape.

Ptosis Correction and Strengthening Eye-Opening Power: Correcting ptosis to match the size of your pupils and securing the new crease firmly strengthens your eye-opening power, resulting in a clear, natural double eyelid line.

All of these solutions are planned based on the individual's current condition. For the best possible outcome, it is essential to have a consultation with a board-certified plastic surgeon to get an accurate diagnosis and a detailed surgical plan.

If you have any further questions about revision eye surgery, please call +82-10-5159-1298 or contact AB Plastic Surgery on WhatsApp using the same number above, for more detailed consultation.

Writer Dr. Park Sung-ho, AB Plastic Surgery

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