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Research Letter |

Hypothyroidism as a Risk Factor for Prolonged Postoperative Edema Following Face-lift Surgery

Phillip R. Langsdon, MD1; Jared J. Tompkins, MD1; Ralph C. Goodman, MD2
[+] Author Affiliations
1Division of Facial Plastic Surgery, Department of Otolaryngology–Head and Neck Surgery, The University of Tennessee Health Science Center, Memphis
2Endocrinology Associates, Memphis, Tennessee
JAMA Facial Plast Surg. 2016;18(4):315-316. doi:10.1001/jamafacial.2016.0155.
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This review examines whether patients with hypothyroidism are at increased risk for prolonged edema after face-lift surgery.

Hypothyroidism is a multisystem disease that affects the skin. This condition is common, with a lifetime risk of overt or subclinical hypothyroidism of 4.6% to 9.5%.1 It is 2 to 3 times more common in women than in men, and typically presents after age 45 years. Symptoms are nonspecific and can manifest as facial aging.1,2 Klatsky and Manson2 reported a 2.6% incidence of undiagnosed hypothyroidism in patients seeking aesthetic intervention for periorbital aging, manifested by edema, festoons, and secondary bags.

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