Michael J. YAREMCHUK, M.D. Craniofacial Plastic Surgeon

plastic - cosmetic - reconstructive surgery

Dr. Yaremchuk:

surgical profile: grave's disease

figure A

This patient suffered from Graves' Disease. As a result, her thyroid gland became overactive, producing antibodies which caused her eye muscles to swell. She was unable to close her eyes, lived in constant pain.

Dr. Yaremchuk peformed a multi-faceted surgery to reduce her eye symptoms and restore her appearance using techniques borrowed from reconstructive and cosmetic surgery.

Figure A shows the patient before surgery.

figure B

Figure B shows surgical incisions made by Dr. Yaremchuk: Within the scalp (coronal), on the inside of the eyelid (transconjunctival), and within the mouth (intraoral).

figure C

In Figure C, the patient's medial and lateral eye socket walls were removed to make room for the swollen eye tissues, allowing her eyes to fall back into place.

figure D.1

figure D.2

Figures D.1 and D.2 shows a cross section of the orbit before and after removal of the orbital walls.

figure E

Dr. Yaremchuk also increased the projection of the bone beneath the eye (the infraorbital rim) with an implant. Finally, the cheeks were elevated (mid face or cheek lift).

figure F

figure G

Compare the pre- and post-operative views of the patient in Figures F and G.


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	C. 2005 Michael J. YAREMCHUK, M.D. all rights reserved