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Thyroid disorders masquerading as aging changes.

S A Klatsky1, P N Manson

  • 1Johns Hopkins Medical Institutions, Baltimore, MD.

Annals of Plastic Surgery
|May 1, 1992
PubMed
Summary
This summary is machine-generated.

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Undiagnosed thyroid conditions like hypothyroidism and hyperthyroidism can cause periorbital aging changes. Treating these underlying thyroid issues may reverse cosmetic concerns, potentially avoiding the need for aesthetic blepharoplasty surgery.

Area of Science:

  • Ophthalmology
  • Endocrinology
  • Plastic Surgery

Background:

  • Periorbital aging changes are common concerns for patients seeking aesthetic blepharoplasty.
  • Thyroid dysfunction can manifest with characteristic facial and ocular signs.
  • Undiagnosed thyroid disease may contribute to or mimic signs of aging around the eyes.

Purpose of the Study:

  • To investigate the prevalence of undiagnosed thyroid disorders in patients presenting for aesthetic blepharoplasty.
  • To identify specific clinical features associated with undiagnosed hypothyroidism and hyperthyroidism in this patient population.
  • To assess the impact of treating underlying thyroid conditions on periorbital aging changes.

Main Methods:

  • Retrospective chart review of patients undergoing aesthetic blepharoplasty.

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  • Clinical assessment for characteristic signs of hypothyroidism (edema, festoons, secondary bags) and hyperthyroidism (proptosis, edema).
  • Correlation of findings with diagnosed thyroid status and outcomes after treatment.

    • Main Results:

    • 2.6% of patients seeking aesthetic blepharoplasty had undiagnosed hypothyroidism.
    • 0.3% of patients had undiagnosed hyperthyroidism.
    • Characteristic features included edema, festoons, secondary bags for hypothyroidism, and proptosis, edema for hyperthyroidism.
    • Treatment of thyroid dysfunction led to variable reversal of periorbital changes.

    Conclusions:

    • Undiagnosed thyroid disease is a relevant factor in patients presenting with periorbital aging signs.
    • Characteristic clinical features can suggest underlying thyroid dysfunction.
    • Medical management of thyroid disorders can improve or resolve aesthetic concerns, potentially obviating the need for surgery.