I am a 30 year old female who was diagnosed with hyperthyroidism and Grave's disease 11 years ago. Ten years ago I had bilateral orbital decompression surgery. It was successful and I recovered easily. A few weeks after the surgery I noticed that my right lower eyelid was not moving when I would blink or smile and it looked like my eye was protruding. The Opthalmic Surgeon said that a ligament was probably stuck and that by simply massaging my lower edge of my eye socket that it would go back to normal. It did seem to go back to normal but I have a permanent crease on my lower eye lid close to the inner corner of my eye. Now that I am no longer 20, the crease is much more noticeable. Now when I am tired it looks awful and it has been causing dryness in my eye and a pressure like pain behind my eye. It has also had a psychological effect and I am not comfortable meeting new people and don't like smiling as much for fear that my eye looks wrinklely and bulging. I see an Opthalmic Surgeon yearly to get my eyes measured and he said that he would not operate to fix this. He said it was cosmetic and to see a Plastic Surgeon. I would but I fear that they might not know how to correct it. So I have not consulted a Plastic Surgeon. It almost seems like my lower eyelid is slightly lower than it should be. Do you recommend I see a Plastic Surgeon or should I get a second opinion from another Opthamalic Surgeon? My last Surgeon has since retired and my insurance is different. I really want to get this surgery done and over with. If my insurance can cover it that would be awesome but if not I am ready to pay out of pocket. Thank you for any advice.