2026-05-29
Sausage Eyelid Reduction via Double-Line Incision: 3-Month Post-Op Scar Case Study
A case study of a patient who underwent double-line incision surgery to correct thick, sausage-like eyelids, showing the recovery process and scar progression over 3 months.

Presenting a case of:
Sausage Eyelid Reduction via Double-Line Incision: 3-Month Post-Op Scar Case Study
This is the patient before surgery. When opening the eyes, the lines appear thick and have a slight ‘sausage’ look.
Immediately after surgery, they naturally look even more like ‘sausage’ eyelids due to swelling.
However, the swelling subsides quickly.
Swelling still remains, but keep in mind that this is only one week after the surgery.
3 months post-surgery.
The scars are expected to continue improving over time.
The formal medical name for the ‘double-line incision’ surgery is ‘Thick Double Eyelid Lowering with Preservation of Existing Scars’.
While the name is long, it is commonly referred to as ‘double-line incision’ (du-jul-tta-gi), though this is not an official medical term.
It is called this because a second line is created to ‘pick away’ or release the adhesions of the original single line.

To show the scars on the other eye: the larger arrow above points to the old scar (the original double eyelid line).
The smaller arrow on the right points to the newly created scar (the new double eyelid line).
Since it is only the 3-month mark, the scars are still visible, but they will gradually fade!
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Check out our other posts too~
https://blog.naver.com/medicdoctor/222082578592
https://blog.naver.com/medicdoctor/222005843164
Frequently Asked Questions
What is 'Two-Line Incision' surgery?
Yes, 'Two-Line Incision' (두줄따기) is a colloquial term for 'thick double eyelid reduction that preserves the double eyelid scar'. It is a surgical method that naturally lowers thick and unnatural 'sausage-like' double eyelid lines by creating two lines and releasing the existing single line adhesion.
How much swelling is there immediately after surgery?
Yes, immediately after surgery, it may temporarily look more like a 'sausage' due to swelling. However, this is a natural phenomenon and the swelling will start to subside quickly. Swelling may persist until the first week, but it will gradually improve.
When do scars disappear after 'Two-Line Incision' surgery?
Scars usually start to fade gradually after about 3 months post-surgery. At the 3-month mark, the existing double eyelid scar and the newly created scar may be quite visible, but over time, the scars will progressively improve and become more natural.
Is 'Two-Line Incision' a formal medical term?
No, 'Two-Line Incision' (두줄따기) is not a formal medical term. The actual formal name is 'thick double eyelid reduction that preserves the double eyelid scar', and it is a colloquial term used among patients to easily understand the surgical principle.