홍진주성형외과

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[ Pretarsal fullness “Sausage deformity” ]
(Too High fold)

The thickness of the double eyelid is proportional to the height of the double eyelid. Because the higher the double eyelid, the thicker it can look, in designing the double eyelid, the appropriate height should be chosen to avoid “sausage like deformity” even if the skin is thick.

From low to higher line, there is a height that becomes thick sausage like fold, which is called the "upper limit of the height". If you get a double line below this upper limit, it will not be a sausage.

On the other hand, when the line is set too low, it becomes a so-called "hidden double eyelid fold" in which the eyelash and skin lower than a line is hidden when the eyes open wide. Therefore, if the height of the double eyelids should be designed in the range between 'sausage' line and 'hidden double eyelid' line to get a proper result.
Sausage deformity due to the excessively high line.
The only solution is lowering the line by reducing the skin between the high line and the target low line, then the pretarsal fullness is relieved.
Sausage deformity with normal line
In the case of ptosis, the double eyelid looks bigger even if the line is not that high. Eye-opening is insufficient to remain most part of lid unfolded. The levator modification for eye-opening enhancement is the procedure of choice.
Sunken Eye, Insufficient fat in upper eyelid
In sunken eye deformity, the middle portion of the eyelid is depressed due to insufficient fat tissue. Then, the skin over the line cannot overlap the lower side. Unfolded lower portion looks like a high fold double eyelid.

If the sunken eye is corrected with fat injection or filler, the normal fold can be created to become a normal double eyelid fold.
The eyelid skin overlaps with the lower part. Volume deficiency
Insufficient overlap of the skin each other—looks like a high fold line
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