Double-Line Fold Lowering for Sausage Eye Revision (Skin Excision vs. Single-Line Method/Candidates)

- My double eyelids are too thick
- I have sausage eyes
- The line is too high... Is there a solution?

Yes, there are many people who are concerned because their double eyelid line is too high.

Through line-lowering revision surgery, we can correct it to a double eyelid line that suits you perfectly.

There are two main methods.

One is the ‘Single-Line’ method (Hanjul-ttagi).

The other is the ‘Double-Line’ method (Dujul-ttagi).

Can’t you see the difference just from the names?

The single-line method involves excising the skin between the existing double eyelid line and the newly designed line to release adhesions and create a new fold.

At this point, some might wonder:

‘Won’t I get lagophthalmos (inability to close eyes fully)?’

Of course, excessive excision can cause lagophthalmos.

That is why we perform surgery without side effects by minimizing the amount of excision appropriately for each patient.

However, there are patients who have no skin left to excise.

This happens when a significant amount of skin was already removed during previous surgeries.

‘I want to lower my double eyelid line. But I heard that for sausage eye surgery, skin must be excised, and I know I already had a lot removed in my previous surgery. What should I do?’

It is for these patients that we recommend the ‘Double-Line’ method.

How is the double-line method different from the single-line method?

The double-line method involves releasing the adhesions of the existing double eyelid and creating a new line below it.

No skin is excised.

Also, it allows for the line to be lowered even further.

And a major advantage is that it allows for multiple revisions if necessary!

However, there are things to be cautious about!

Two scars may temporarily exist, and because it is easy for re-adhesion to cause multiple folds, this is a surgery that only a highly skilled plastic surgeon can perform.

Dr. Choi Dong-il of Gangnam Seoyeon Plastic Surgery is a board-certified plastic surgeon with over 20 years of experience, having successfully led numerous double-line revision surgeries.

When performing high-difficulty double-line surgery, the most important thing is to provide the appropriate prescription for each patient.

Gangnam Seoyeon’s surgical philosophy is to minimize tissue damage through thorough planning and delicate surgical techniques.

Above all, we do not miss out on both function and aesthetics through customized designs that consider the shape and condition of the eyes and the entire face.

I will conclude this post by showing you before and after photos of safe and beautiful double-line fold lowering.

Gangnam Seoyeon Plastic Surgery Clinic complies with medical laws. The photos in this post were taken under the same conditions with the patient’s prior consent. Additionally, side effects such as bleeding, infection, and inflammation may occur after plastic surgery and procedures depending on the individual, so caution is required.

Feel free to visit and receive a 1:1 consultation from a plastic surgery specialist :)

If you have any questions or would like a consultation, please leave a comment, contact us via KakaoTalk Plus Friend @GangnamSeoyeonPlasticSurgery, or call us at 02-535-8889 :)

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Frequently Asked Questions

What is the 'one-line incision' surgery to correct 'sausage eyes'?

Yes, it is a surgical method that involves excising the skin between the existing double eyelid line and the newly created line to release adhesions and create a new line. However, it is important to minimize the amount of excision, as excessive excision can lead to lagophthalmos, a side effect where the eyes do not close completely.

Can I lower the line if there is no skin to excise from a previous surgery?

Yes, it is possible. For those who do not have enough skin to excise, we recommend the 'two-line incision' surgery. The two-line incision method does not involve excising skin; instead, it releases the adhesion of the existing double eyelid and then creates a new line below it, making it possible to undergo the surgery multiple times.

Are there any side effects to be aware of with 'two-line incision' surgery?

Yes, there is a disadvantage that two lines of scars may remain, and re-adhesion can easily lead to multiple folds. To prevent these side effects, advanced techniques are required, so it is essential to have the surgery performed by a skilled plastic surgeon.

Can lagophthalmos occur as a side effect after 'one-line incision' surgery?

Yes, if too much skin is excised, lagophthalmos, a condition where the eyes do not close completely, can be induced. Therefore, it is very important to safely perform the surgery by minimizing the amount of skin excised appropriately for each patient to prevent side effects.