Blepharoplasty and Subclinical Hypothyroid?

I have subclinical hypothyroid that my gp doesn't think is necessary to treat. Except for some hair loss, I am asymptomatic. My eyes *may* have slight edema in addition to ptosis, hooding, excess fat, laxity etc. (It's hard to tell the difference between edema and fat.) What are the chances that I will develop malar festoons and/or have lymphatic drainage issues associated with my condition? I really want surgery, but I don't want to be foolish.

Doctor Answers 7

Mild hypothyroid should be no contraindication to blepharoplasty.

Provided you are metabolically stable I see no contraindication to blepharoplasty because of mild hypothyroidism.

Atlanta Plastic Surgeon
4.7 out of 5 stars 35 reviews

Blepharoplasty and Subclinical Hypothyroid?

         Eyelid surgery with normal levels of circulating thyroid hormone should be uneventful.  Eyelid surgery depending upon what is done and individual healing characteristics may have a remote chance of impeding longterm lymphovascular return.  However, in most cases, this is not an issue.  Festoons have a multifactorial etiology and are hard to predict the course.  Kenneth Hughes, MD Los Angeles, CA

Kenneth B. Hughes, MD
Los Angeles Plastic Surgeon
4.9 out of 5 stars 492 reviews

Blepharoplasty and Subclinical Hypothyroid?

We can't really answer a specific question about your eyes without photos, but a blepharoplasty is certainly a possibility and you should get as good a result as any other patient. Your thyroid status is not an issue as long as your hormone levels are normal. If they are not normal you need to speak with an endocrine specialist and become normalized before any surgery.

Ronald V. DeMars, MD
Portland Plastic Surgeon
5.0 out of 5 stars 27 reviews

Eyelid surgery and hypothyroidism

 As long as your baseline  thyroid levels are normal, you should heal quite well from any type of blepharoplasty. Performing a blepharoplasty should not create  festoons. A second opinion from an endocrinologist  who specializes in thyroid disorders may be of benefit.

William Portuese, MD
Seattle Facial Plastic Surgeon
4.8 out of 5 stars 143 reviews

Blepharoplasty and Thyroid Conditions

Thank you for the great question. It is appropriate to be cautious, but, if you're thyroid hormone levels and general medical condition are stable then you should be able to move forward. In your pre-operative meeting with your surgeon, all of this information can be reviewed.

In the case of thyroid conditions, you may have both edema and extra fat. This doesn't make surgery a bad option, but may require a specific approach to address skin, muscle, and fat.

Best of luck moving forward!

Evan Ransom, MD
Bay Area Facial Plastic Surgeon
4.9 out of 5 stars 110 reviews

Swelling after eyelid surgery

The chances of postoperative swelling is not significantly greater in your case than a normal case. The type and technique of the procedure also matters. Some procedures can cause more swelling as does more aggressive surgery. See an oculoplastic surgeon for evaluation.

Mehryar (Ray) Taban, MD, FACS
Beverly Hills Oculoplastic Surgeon
4.9 out of 5 stars 72 reviews

Have blepharoplasties?

If your thyroid condition is controlled, you should be able to have blepharoplasties. If you are destined to have festoons, I don't think that blepharoplasties will have any affect towards them. 

Sheldon S. Kabaker, MD FACS
San Francisco Facial Plastic Surgeon
4.4 out of 5 stars 35 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.