What is the scar-preserving high fold correction? How sausage eyes are lowered, and the standards for failure-free eye revision surgery
Hello. This is Gangnam Seoyon Plastic Surgery.
When the line is set too high after double-eyelid surgery, or the eye looks puffy as though the swelling never went down, people commonly call it a 'sausage eye.' The word you hear most often when you visit a clinic to fix this is [the scar-preserving high fold correction].
Just from the name, many people get anxious, thinking "Will I end up with two lines on my eye?" or "Is this surgery that leaves twice the scarring?"
Today we will explain in detail exactly what the scar-preserving high fold correction — the key eye-revision method for naturally lowering sausage eyes — really is, along with its principle and effects.
■ What exactly is the scar-preserving high fold correction?
The scar-preserving high fold correction is an eye-revision method that leaves the existing high, thick double-eyelid line in place and designs a completely new line below it to lower the height of the fold.
Because the surgery deals with both the existing line and the new line — that is, 'two lines' — it came to be widely known as the "two-line" technique — formally, the scar-preserving high fold correction — among plastic surgery specialists and patients. The essence of this surgery is to precisely release the adhesions (scar tissue) that had been firmly bound to the upper tissue by the previous surgery, and to fix a slim new line lower down.
■ The core principle and process of the scar-preserving high fold correction
The anatomical surgical process of the scar-preserving high fold correction can be summarized in the following three steps.
Designing and incising the new line: A new line is designed below the existing high double-eyelid line at the natural height the patient wants, and a fine incision is made.
Releasing the existing adhesions: Approaching upward through the new incision, the firm adhesions (scar tissue) between the tarsal plate and the skin — the main culprit that had been holding the existing fold high — are precisely severed.
Fat repositioning and fixing the new line: The surrounding tissue is appropriately repositioned to form a barrier so that the released space does not re-adhere and the existing high line does not recur. The tissue is then naturally fixed so that adhesion forms at the new, lower incision.
■ The difference between standard incisional revision and the scar-preserving high fold correction
The biggest difference between the two surgeries lies in 'whether skin is excised (cut away).' If a standard revision is performed when there is not enough spare eyelid skin, a side effect where the eyes do not close well can occur, so caution is needed.
Standard incisional revision: The skin between the existing line and the new line is cut away and rejoined (only possible when there is plenty of spare skin).
Scar-preserving high fold correction: No skin is cut away at all; only the internal adhesions are released (can be performed safely even when spare skin is insufficient).
■ Three key Q&As about scar-preserving high fold correction eye-revision surgery
We clearly lay out the three questions most often asked by those considering the scar-preserving high fold correction to escape sausage eyes.
Q1. If I get the scar-preserving high fold correction, will I be left with two lines (a double-crease eyelid) on my eye?
A. No. Because the existing high line has its adhesions completely released internally, it no longer folds and instead lies flat. As the scar fades over time, ultimately only the single new, low, natural line remains.
Q2. My eyelid skin is insufficient because of a previous surgery — is the procedure still possible?
A. Yes, it is possible. Unlike a standard incisional revision, the scar-preserving high fold correction is a skin-preserving surgery that releases only the internal adhesions without cutting away any skin, so the line can be lowered safely even when little skin remains.
Q3. Can I also have eye-shape (ptosis) correction at the same time as the scar-preserving high fold correction?
A. Yes, simultaneous surgery is possible and is in fact recommended. Many people with sausage eyes have weak eye-opening strength, which tends to make the fold look thicker. Combining the scar-preserving high fold correction with eye-shape correction exposes the iris clearly and lets the fold settle much more slimly and naturally.
■ Failure-free eye revision: why you should choose Gangnam Seoyon Plastic Surgery
The scar-preserving high fold correction is among the highest-difficulty procedures even within eye plastic surgery. Because the internal tissue adhesions are already severe and the structure is deformed, success or failure hinges on how cleanly and precisely the adhesions are dissected. If the dissection is incomplete, a side effect where the existing line folds again can occur.
Located near Sinsa Station and Serosu-gil, Gangnam Seoyon Plastic Surgery has a skilled specialist who fully understands the structure of the tissue, muscle, and fat around the eyes perform the surgery personally.
Precise measurement of each individual patient's eyelid skin thickness and remaining skin amount
Reliable fat-repositioning know-how that builds a barrier so the existing line does not fold again
A 1:1 dedicated-responsibility system led by the Chief Director, with no ghost surgery
The high fold and sausage eyes that stressed you every time you looked in the mirror can now be resolved safely, without skin damage, with the scar-preserving high fold correction. If you need an accurate diagnosis suited to the condition of your eyes, please feel free to inquire anytime.
Location: 20, Gangnam-daero 154-gil, Gangnam-gu, Seoul (Gangnam Seoyon Plastic Surgery, near Sinsa Station / Serosu-gil)
Consultation & booking: 02-535-8889 / KakaoTalk Plus Talk: @Gangnam Seoyon Plastic Surgery