Blepharoplasty Graves Disease

asked 1 year ago by Toronto5109 in Toronto, ON
Latest answer by Jonathan Hoenig, MD
Question viewed 407 times
Tags: graft, Graves Disease

Hi, I am considering lower Blepharoplasty and pinching at the sides of eyes to help with my Graves eye disease. I had orbital fat removal 1 year ago but my eyes still protrude more than I like. An Oculoplastic surgeon suggested taking a graft from the roof of my mouth for the lower eye lid procedure. Is this common and safe?Thank you Any suggestions would be appreciated.

9 answers to Blepharoplasty Graves Disease

Lower Blepharoplasty Using Skin Graft from Roof of Mouth

To specifically answer your question, yes, using a hard palate graft is common and safe. Oculoplastic surgeons commonly do this. I assume you have discussed this versus other treatments with your Oculoplastic surgeon, who is the correct specialist to treat Graves orbitopathy.

Sam Goldberger, MD
Beverly Hills Oculoplastic Surgeon

www.neweyelids.com

Hard palate graft is safe in the right hands

Lower eyelid surgery using a hard palate graft is safe when done by a properly trained, experienced surgeon. Other options for treatment of thyroid eye disease are eyelid lowering (if your eyelids are retracted), or orbital decompression can help the eyes to move back into a more normal place in the eye socket (if the eyelids are bulging). An oculoplastic surgeon is well-suited to perform these surgeries.

Jonathan Hoenig, MD
Beverly Hills Oculoplastic Surgeon

It is important to have the same goal as your surgeon.

Dear Toronto An oculoplastic surgeon is definitely the right type of specialist. However, it is important that you and your surgeon have the same goals. I assume that your eye prominence is mild enough that a bony orbital decompression was not an option and instead a fat decompression was performed. Photos would be very helpful to better understand your actual situation. However, from your description you have a prominent eye with the lower eyelids ride low... more

Kenneth D. Steinsapir, MD
Los Angeles Oculoplastic Surgeon

Lower Blepharoplasty Using Skin Graft from Roof of Mouth

Without an in person examination and photos very hard to advise. But it sounds like an acceptable treatment plan. From MIAMI Dr. Darryl J. Blinski

Darryl J. Blinski, MD
Miami Plastic Surgeon

Treatment of orbital symptoms in Grave's disease

Hi Toronto, Prior to proceeding with the eyelid surgery, there may be other options that would be more effective. I recommend discussing the case with your surgeon and asking the medial orbital walls could be treated to help decrease the eye bulging. This is one of the most common surgical procedures performed for patients who have Grave's disease. Good luck!

P. Daniel Ward, MD
Salt Lake City Facial Plastic Surgeon

Grave's eye disease

The treatment of bulging eyes form Grave's disease may require imput from several specialist including a craniofacial surgeon to possibly require bony orbital work to allow the volume for the globe to increase.

Steven Wallach, MD
Manhattan Plastic Surgeon

Treatment of Grave's Eye Disease

As treatment of the orbital complications of Graves Disease is a problem that spans different medical specialties, I would recommend that you consult with an ENT (Otolaryngologist) that specializes in this treatment for a second opinion. In order to properly answer your question, more information is needed and must be reviewed. If the ENT feels that your prior surgery was adequate and nothing more can be done, then you can move ahead with the palatal graft with confidence.... more

Joseph Campanelli, MD
Minneapolis Facial Plastic Surgeon

Dealing with Graves' Disease of the Eyes - Bulging Eye Balls

Regarding: "Lower Blepharoplasty Using Skin Graft from Roof of Mouth Hi, I am considering lower Blepharoplasty and pinching at the sides of eyes to help with my Graves eye disease. I had orbital fat removal 1 year ago but my eyes still protrude more than I like. An Oculoplastic surgeon suggested taking a graft from the roof of my mouth for the lower eye lid procedure. Is this common and safe?Thank you Any suggestions would be appreciated." Grave's (Basedow's)... more

Peter A. Aldea, MD
Memphis Plastic Surgeon

Lower lids with palatal grafts

A lower lid surgery in the face of Grave's Disease is very complicated and carries the risk of ectropion much more significantly that in regular patients. The palatal grafts are done for some circumstances to add stiffness to the lower lid and to try to prevent the ectropion from occurring in the first place.