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Research Letter
Jul/Aug 2016

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

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

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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