Case Study: 3 Months After Double-Line Fold Lowering for Sausage Eyes

I would like to share a post today featuring photos of a patient who recently visited for a follow-up.

Case Study: 3 Months After Double-Line Fold Lowering for Sausage Eyes

The patient visited the clinic to improve asymmetry and the appearance of ‘sausage eyes.’

The crease lines were high and differed on each side.

They had a puffy sausage-like appearance, and visible scarring was present.

Since the patient lacked sufficient skin to simply excise and lower the line, I used the ‘double-line fold lowering’ method (releasing the existing scar tissue and creating a new line below it) to lower the crease.

This is at the one-week mark during stitch removal. Despite the remaining swelling, the line has been significantly lowered.

At one week, the previous scar was released and the new lower line was set. There is a slight case of lagophthalmos (incomplete eye closure); this is usually temporary as the tone of the orbicularis oculi muscle decreases after surgery.

Appearance at one month. Swelling is still present. While the line is lower than before, it remains in a swollen state.

At one month, the scar tissue is still firm, and there is some protrusion of the scar at the front. The original scar is already starting to become less visible.

Progress at 3 months. The line has settled much lower.

Some redness remains, but the results are being maintained well without any specific issues. However, a small breakout occurred, which I treated during the visit. You can see a small pimple in the center of the left side of the photo (the patient’s right eye).

The patient went home after the treatment today. ^^

After 6 months, both the old and new scars will likely be even less noticeable.

I want to emphasize once again that if there is sufficient tissue remaining, scarring can be minimized; however, if there is a lack of healthy tissue, scar improvement can be challenging.