Thick Double Eyelid Creases Are Often Caused by Ptosis
Many male patients who consider revision surgery complain that their double eyelid crease looks too thick. Commonly referred to as a “sausage eyelid”, this appearance can look heavy and overly dramatic — a style most men do not prefer, as it may not match a natural and masculine look.
While this can be congenital, the most frequent cause is when a double eyelid crease is created without correcting underlying ptosis — as seen in the patient example below.
So, what causes double eyelids to look too thick?
The most common reason is simply a high crease design.
However, in many cases, the problem is not just a thick crease — ptosis is often present at the same time.
While revision surgery can lower the height of the double eyelid crease, untreated ptosis forces the patient to lift the eyebrows in order to see better. Over time, this habitual brow elevation pulls the crease upward again, making the eyelid look thick once more.
Ptosis refers to a condition where the eyelid-lifting muscle is weak, causing the person to rely on the forehead muscles to open the eyes.
In such cases, ptosis correction (eyelid muscle tightening) is required.
By strengthening and properly anchoring the lifting muscle, the eyes can open more efficiently — reducing forehead activation and preventing the crease from becoming thick again.
Comparison of Eyeball Exposure and Double Eyelid Height After Ptosis Correction
High Fold Correction
Revision surgery to lower an overly high double eyelid crease and restore a more balanced, natural appearance
What is Ptosis Correction?
Ptosis correction is a procedure that allows the eyes to open properly without relying on the forehead or excessive muscle effort. It corrects droopy eyelids so that, when the eyes are opened in a relaxed and natural state, ptosis is no longer visible.
When lowering a thick or high crease, ptosis correction should be performed together.
This ensures that the eyes open well and prevents the double eyelid crease from becoming thick again.
Lowering the Double Eyelid Crease
This does not mean completely removing the double eyelid crease —
but lowering it as much as possible so the fold does not show prominently when the eyes are open, making it appear like an inner crease.
This procedure is also called:
#DoubleEyelidLowering #LoweringHighFold #HighFoldCorrection
As shown in the images below, when ptosis correction is combined with crease lowering, the iris becomes more visible, the eyes look more open and balanced, and the crease no longer thickens over time.
Correcting a high double eyelid fold is one of the more challenging aspects of ptosis surgery. When the original crease is too high or deeply set, a secondary crease may form, or the previous crease may remain visible like a scar. In some cases, there may also be insufficient skin to fully lower the fold.
For these reasons, it is essential to consult with a highly experienced board-certified plastic surgeon to determine whether surgery is appropriate.
Repeated revision surgeries increase scarring and adhesion along the existing crease, making the procedure far more complex and the recovery slower.
Consultation with a qualified plastic surgeon is always crucial before proceeding.
No. 1 Clinic for Revision and Ptosis Correction Surgery
AHNSUNGMIN Plastic Surgery
We create natural-looking changes.
We look forward to seeing you at AHNSUNGMIN Plastic Surgery of Jamsil.
Thank you.