My blood work came back with my thyroid overactive. My endocrinologist keeps me on the higher end of the spectrum because I am always tired. Will my surgeon still preform surgery on me?
Answer: I wouldn't... Hi there. Greetings from the UK! In short, I'd also agree with Dr Steinsapir that it's a bad idea to get blepharoplasty surgery in the presence of uncontrolled hyperthyroidism. Yes quite a lot of our patients ultimately do well with transconjunctival blepharoplasty surgery particularly to debulk away the fat pads, however we only offer this sort of surgery once we are sure that their thyroid eye disease is in a period of prolonged stability and is therefore unlikely to worsen or improve any further. Hence overall we tend to time our rehabilitation surgery after at least 6 months of stability. The problem is that when a patient's endocrine control is still a bit haywire, the risk of reactivation of thyroid eye disease becomes much higher and their thyroid eye disease and thus their appearance is more likely to alter. Thus patients may then run the risk of having a blepharoplasty surgery now only for their eyelids to worsen further. Similarly it is not uncommon for patient's appearances to improve as their thyroid control improves- so you may risk undergoing surgery for something which was going to self improve anyway. On another note, the anaesthetist may run into more risks in an uncontrolled hyperthyroid patient whilst administering GA. Hope that all makes sense. Best Wishes David.
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Answer: I wouldn't... Hi there. Greetings from the UK! In short, I'd also agree with Dr Steinsapir that it's a bad idea to get blepharoplasty surgery in the presence of uncontrolled hyperthyroidism. Yes quite a lot of our patients ultimately do well with transconjunctival blepharoplasty surgery particularly to debulk away the fat pads, however we only offer this sort of surgery once we are sure that their thyroid eye disease is in a period of prolonged stability and is therefore unlikely to worsen or improve any further. Hence overall we tend to time our rehabilitation surgery after at least 6 months of stability. The problem is that when a patient's endocrine control is still a bit haywire, the risk of reactivation of thyroid eye disease becomes much higher and their thyroid eye disease and thus their appearance is more likely to alter. Thus patients may then run the risk of having a blepharoplasty surgery now only for their eyelids to worsen further. Similarly it is not uncommon for patient's appearances to improve as their thyroid control improves- so you may risk undergoing surgery for something which was going to self improve anyway. On another note, the anaesthetist may run into more risks in an uncontrolled hyperthyroid patient whilst administering GA. Hope that all makes sense. Best Wishes David.
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October 1, 2016
Answer: blepharoplasty and thyroid disease There are many different kinds of thyroid disease, so it's best to get medical clearance from your endocrinologist before undergoing elective cosmetic surgery.
Helpful 1 person found this helpful
October 1, 2016
Answer: blepharoplasty and thyroid disease There are many different kinds of thyroid disease, so it's best to get medical clearance from your endocrinologist before undergoing elective cosmetic surgery.
Helpful 1 person found this helpful
