Thyroid Eye Disease (TED), also known as Graves’ orbitopathy, is an autoimmune condition that affects the muscles and tissues around the eyes. This condition is commonly associated with hyperthyroidism and Graves’ disease but can also occur in individuals with normal or low thyroid function. TED can cause discomfort, vision problems, and significant changes in appearance. Fortunately, oculoplastic surgery offers several effective solutions to restore both function and aesthetics. Khan Eyelid and Facial Aesthetics, led by oculoplastic and reconstructive surgeon Dr. Tanya Khan, provides oculoplastic surgery to patients in Plano, Dallas, Austin, Texas, and surrounding locations.

Understanding Thyroid Eye Disease

TED occurs when the immune system mistakenly attacks the soft tissues and muscles around the eyes, leading to inflammation and swelling. Over time, this can result in various complications, including:

• Bulging eyes (proptosis): The eyes appear more prominent due to swelling of the tissues behind the eyeball.
• Eyelid retraction: The upper or lower eyelids pull back, exposing more of the eye’s surface.
• Double vision (diplopia): Swollen muscles can affect eye movement and alignment.
• Dryness and irritation: The inability to fully close the eyelids can cause chronic dry eye symptoms.
• Vision loss: In severe cases, swelling compresses the optic nerve, threatening eyesight.

How Oculoplastic Surgery Can Help

When non-surgical treatments like corticosteroids, eye drops, and lifestyle modifications are not enough, oculoplastic surgery can provide significant relief and restore eye function. Several surgical options are available, depending on the severity of TED symptoms:

1. Orbital Decompression Surgery

• Reduces pressure in the eye socket by removing excess bone or fat from the orbit.
• Helps correct bulging eyes (proptosis) and relieves pressure on the optic nerve.
• Can improve vision and provide a more natural eye appearance.

2. Eyelid Surgery (Eyelid Retraction Repair)

• Adjusts the position of the eyelids to reduce excessive exposure of the eye.
• Helps alleviate dryness, irritation, and cosmetic concerns.
• Improves blinking and eye closure for better lubrication.

3. Strabismus Surgery

• Corrects double vision (diplopia) caused by misaligned eye muscles.
• Helps restore proper eye movement and alignment.

4. Cosmetic Reconstruction

• Addresses aesthetic concerns after TED stabilization.
• May involve lower eyelid repositioning, fat grafting, or other refinements to enhance symmetry.

What to Expect from Surgery

• Treatment Timing: Surgery is typically performed after the active phase of TED has stabilized, usually 6 months to 2 years after onset.
• Recovery: Swelling and bruising are common but subside within a few weeks. Full healing may take a few months.
• Results: Patients often experience both functional improvements (better vision, reduced discomfort) and cosmetic enhancements (more natural eye shape and symmetry).

Is Oculoplastic Surgery Right for You?

If TED is affecting your vision, comfort, or confidence, an oculoplastic surgeon can help determine the best treatment plan. A comprehensive evaluation will assess your eye function, orbital structure, and overall health to recommend the most suitable procedure.

Conclusion

Thyroid Eye Disease can be challenging, but oculoplastic surgery offers a path to relief and restoration. Whether addressing bulging eyes, eyelid retraction, or double vision, these specialized procedures can significantly improve both function and appearance. If you or a loved one are struggling with TED, consulting with an experienced oculoplastic surgeon is the first step toward achieving lasting relief and renewed confidence.

For more information about procedures and treatments at Khan Eyelid and Facial Aesthetics by Ophthalmic surgeon Dr. Tanya Khan. Click here to contact us.

Taking patients from in and around Dallas, Plano, Fort Worth, Grapevine, Garland, Mesquite, Carrollton, Irving, Frisco, Texas and more.

Oculoplastic surgery is a specialized field that focuses on the eyes and surrounding structures, offering both cosmetic enhancements and functional corrections. Whether for aesthetic improvements or medical necessity, oculoplastic procedures can significantly impact a person’s quality of life. But what exactly is the difference between cosmetic and functional oculoplastic surgery? Let’s explore the key distinctions and how each type of procedure benefits patients. Khan Eyelid and Facial Aesthetics, led by oculoplastic and reconstructive surgeon Dr. Tanya Khan, provides oculoplastic surgery to patients in Plano, Dallas, Austin, Texas, and surrounding locations.

What is Cosmetic Oculoplastic Surgery?

Cosmetic oculoplastic surgery is designed to enhance the appearance of the eyes and surrounding areas. These procedures help address signs of aging, improve symmetry, and rejuvenate the face for a more youthful and refreshed look.

Common Cosmetic Oculoplastic Procedures

• Upper & Lower Blepharoplasty (Eyelid Surgery): Removes excess skin and fat from the eyelids to reduce sagging and puffiness.
• Brow Lift: Elevates drooping brows and reduces forehead wrinkles.
• Canthoplasty & Canthopexy: Adjusts the corners of the eyes for a more youthful appearance.
• Non-Surgical Rejuvenation: Botox, dermal fillers, and laser treatments to smooth wrinkles and restore volume.

Who Can Benefit?

Patients seeking cosmetic oculoplastic surgery typically experience:

• Drooping or sagging eyelids that make them look tired or aged
• Puffy under-eye bags that do not improve with skincare
• Desire for a more youthful, refreshed appearance

What is Functional Oculoplastic Surgery?

Functional oculoplastic surgery is performed to restore normal eye function, correct medical conditions, and improve vision. Unlike cosmetic procedures, these surgeries are often medically necessary and may be covered by insurance.

Common Functional Oculoplastic Procedures

• Ptosis Repair: Lifts drooping eyelids that impair vision.
• Ectropion & Entropion Repair: Corrects eyelid malpositions that cause irritation or tearing.
• Tear Duct Surgery (Dacryocystorhinostomy – DCR): Treats blocked tear ducts and chronic watery eyes.
• Orbital Surgery: Addresses trauma, tumors, or thyroid eye disease affecting the eye socket.
• Eyelid Reconstruction: Restores eyelid function after trauma, cancer removal, or congenital defects.

Who Needs Functional Oculoplastic Surgery?

Patients requiring functional procedures often experience:

• Vision obstruction due to drooping eyelids
• Chronic eye irritation, excessive tearing, or dryness
• Eyelid abnormalities affecting comfort or health
• Trauma or medical conditions that compromise eye function

Cosmetic vs. Functional: How to Decide?

The distinction between cosmetic and functional oculoplastic surgery lies in intent and necessity:

• Cosmetic procedures focus on enhancing appearance but are not required for eye health.
• Functional procedures address medical issues that impair vision or cause discomfort.

In some cases, procedures can be both cosmetic and functional. For example, a patient with severe eyelid drooping (ptosis) may seek surgery to improve vision, but the procedure can also enhance their facial appearance.

Consulting with an Oculoplastic Surgeon

If you’re considering oculoplastic surgery, consulting with a board-certified oculoplastic surgeon is essential. They can evaluate your concerns, determine whether your procedure is cosmetic or functional, and discuss the best treatment options for your needs.

Conclusion

Both cosmetic and functional oculoplastic surgeries play vital roles in enhancing eye aesthetics and improving vision. Whether you’re seeking a youthful appearance or relief from a medical condition, oculoplastic surgery offers transformative solutions to help you look and feel your best.

For more information about procedures and treatments at Khan Eyelid and Facial Aesthetics by Ophthalmic surgeon Dr. Tanya Khan. Click here to contact us.

Taking patients from in and around Dallas, Plano, Fort Worth, Grapevine, Garland, Mesquite, Carrollton, Irving, Frisco, Texas and more.