Today's post is on the revision of sausage-shaped eyelids after double-eyelid surgery.
Note in advance: the post-op photos shown here are at about six months out.
Several things can lead to a sausage-shaped eyelid.
1. The incision was placed too high.
2. The internal fixation point sits higher than the incision line.
3. Untreated ptosis underneath.
4. Hollow upper lid (sunken eye).
These are the common scenarios.
More than one can be at play in the same patient.
Untreated ptosis combined with a high fixation can also produce this look.
This material is drawn from a presentation I gave at the Korean Society of Plastic and Reconstructive Surgeons (KSPRS) meeting in November 2018.
Surgically, the fix is to release the scar tissue cleanly and re-set the fixation at a lower-tension point. The shape resolves once those two things are done correctly.