Thyroid Surgery

Thyroid Specialists Los Angeles

Do you suffer from the symptoms of hypothyroidism or hyperthyroidism or have another thyroid condition? If so, make today the day you take charge of your health. At the Surgery Group of LA, our doctors led by top thyroid specialist, Dr. Jason Cohen, are experienced in diagnosing and treating thyroid conditions. Call our office today at 310.861.7493 to schedule an appointment and to get your thyroid health back to optimal levels.
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What is the Thyroid Gland?

The thyroid, located in the front lower region of the neck, is a gland that produces thyroid hormones. These hormones are necessary for many bodily functions, as they impact our muscles, bones, skin, heart, brain, liver, kidneys, digestive tract, and more. Primarily, surgery is performed only after the thyroid is deemed suspicious by a biopsy. Unusual findings, or a biopsy that shows signs of cancer, may indicate a number of problems in your endocrine system. Operations, medication, or other therapies are advised for patients who have a variety of thyroid conditions.

What is Thyroid Disease?

Thyroid Disease is a broad term that encompasses a range of conditions affecting the thyroid gland, a small, butterfly-shaped organ located in the front of your neck. This gland plays a crucial role in regulating various bodily functions by producing thyroid hormones, including thyroxine (T4) and triiodothyronine (T3). These hormones influence metabolism, energy production, and the proper functioning of organs and tissues.

When the thyroid gland doesn’t function as it should, it can lead to a variety of thyroid diseases. These conditions can manifest in several ways, impacting your overall health and well-being. Some thyroid diseases may cause an overproduction of hormones (hyperthyroidism), while others result in an underproduction (hypothyroidism). In some cases, the thyroid gland may develop nodules or become enlarged (goiter).

What causes Thyroid Disease?

Hypothyroidism and hyperthyroidism, the primary categories of thyroid disorders, can originate from an array of underlying conditions that influence the thyroid gland’s functionality.

The causes of hypothyroidism include:

  • Autoimmune Thyroiditis: This is one of the leading causes of hypothyroidism, where the immune system mistakenly attacks the thyroid gland. Hashimoto’s thyroiditis is a common example.
  • Iodine Deficiency: A lack of iodine in the diet can hinder the production of thyroid hormones, potentially leading to an underactive thyroid.
  • Medications: Certain medications, such as lithium or amiodarone, can interfere with thyroid function and contribute to hypothyroidism.

The causes of hyperthyroidism include:

  • Graves’ Disease: This autoimmune disorder prompts the thyroid gland to overproduce hormones, leading to hyperthyroidism.
  • Thyroid Nodules: Abnormal growths in the thyroid gland can sometimes produce excess thyroid hormones, causing hyperthyroidism.
  • Thyroiditis: Often triggered by viral infections, thyroiditis can lead to the temporary release of stored hormones, resulting in a hyperthyroid state.

What are the symptoms of Thyroid Disease?

Recognizing the symptoms of thyroid disease is vital as they often overlap with other health issues, making it challenging to identify. Whether you’re managing hypothyroidism or hyperthyroidism, the presentation of signs may differ.

Common symptoms of hypothyroidism include

  • Fatigue: Individuals with hypothyroidism often experience unrelenting fatigue, even after a good night’s sleep.
  • Weight Gain: Unexplained weight gain is a classic symptom, accompanied by difficulties in losing weight.
  • Cold Sensitivity: Feeling excessively cold, particularly in the extremities, is a common complaint.
  • Dry Skin and Hair: Dry skin, brittle hair, and brittle nails are often indicators.
  • Depression: Hypothyroidism can contribute to mood disturbances and depression.
  • Constipation: Sluggish digestion is a frequent complaint.
  • Muscle and Joint Pain: Aches and pains, especially in the muscles and joints, can be present.
  • Memory and Cognitive Issues: Some individuals may experience cognitive difficulties and memory problems.

Common symptoms of hyperthyroidism include:

  • Weight Loss: Hyperthyroidism often leads to unintended weight loss.
  • Anxiety and Nervousness: Increased thyroid hormone levels can cause heightened anxiety and nervousness.
  • Heat Sensitivity: Feeling excessively warm or sweaty, even in cool temperatures.
  • Tremors: Shaky hands or a trembling sensation may occur.
  • Irregular Heartbeat: Palpitations or a rapid heartbeat can be a concern.
  • Increased Appetite: An unexplained increase in appetite may be noticeable.
  • Frequent Bowel Movements: Hyperthyroidism can lead to frequent and loose bowel movements.
  • Sleep Disturbances: Difficulty falling asleep or staying asleep may be experienced.
Diagnosis & Screening

How is Thyroid Disease diagnosed?

Accurate diagnosis is the cornerstone of effective thyroid disease management. The diagnostic process, generally includes the following tests
  • Thyroid Hormone Blood Tests: Thyroid blood tests, including TSH (Thyroid-Stimulating Hormone), T4, and T3 levels, provide crucial insights into thyroid function. Elevated TSH may indicate an underactive thyroid (hypothyroidism), while decreased TSH levels can signal an overactive thyroid (hyperthyroidism).
  • Thyroid Antibody Testing: In cases where autoimmune thyroid diseases are suspected, measuring thyroid antibodies, such as anti-thyroid peroxidase (TPO) antibodies, can confirm the diagnosis.
  • Imaging Tests: In certain instances, ultrasound or nuclear scans may be employed to assess the thyroid’s physical structure and identify abnormalities or nodules.
Treatment

How is Thyroid Disease treated?

When it comes to thyroid disease, effective treatment is pivotal in restoring well-being and maintaining a balanced thyroid function. Here are the treatment approaches we offer:
  • Medication Therapy: For individuals with hypothyroidism, synthetic thyroid hormones (like levothyroxine) can be prescribed to replace the missing hormones, bringing thyroid levels back to normal.
  • Anti-thyroid Medications: In cases of hyperthyroidism, anti-thyroid drugs such as methimazole or propylthiouracil can help regulate the excessive production of thyroid hormones.
  • Radioactive Iodine (RAI) Therapy: RAI is a treatment for hyperthyroidism, where a radioactive form of iodine is used to reduce thyroid gland activity.
  • Thyroid Surgery (Thyroidectomy): In some cases, surgical removal of all or part of the thyroid gland may be necessary to treat thyroid disorders.
Scarless Options

Scarless & Transoral (TOETVA) Thyroid Surgery

For suitable patients, thyroid surgery no longer has to leave a visible neck scar. Surgery Group LA offers advanced scar-minimizing approaches — including transoral (TOETVA) and robotic techniques — that hide or eliminate the incision while keeping safety first.

Transoral thyroidectomy (TOETVA)

The thyroid is removed through small incisions hidden inside the lower lip, leaving no visible scar on the neck. TOETVA is an option for select patients with smaller nodules or glands.

Robotic & remote-access surgery

Robotic approaches can move the incision away from the front of the neck to a more discreet location, reducing the cosmetic impact of surgery for appropriate candidates.

Minimally invasive thyroidectomy

When a conventional approach is best, a small, carefully placed incision and meticulous technique keep any scar as discreet as possible.

Voice- and calcium-protecting technique

Across every approach, we use careful technique to protect the recurrent laryngeal nerve that controls the voice and to preserve the parathyroid glands that regulate calcium.

Candidacy depends on the size and nature of your thyroid condition. Learn more about our scarless thyroid approach, our minimally invasive thyroid surgery, and thyroidectomy options.

Prognosis

What to expect after having my thyroid removed?

After undergoing a thyroidectomy, a surgical procedure to remove your thyroid gland, you can anticipate several important post-operative considerations. In the immediate recovery phase, you’ll typically spend a day or two in the hospital, where medical professionals will closely monitor your condition and provide pain management as needed. A scar on your neck will be a visible reminder of the surgery, and proper wound care is essential to minimize its appearance over time.
Thyroid hormone replacement therapy becomes a lifelong commitment after thyroid removal. Without a thyroid gland, your body can no longer produce thyroid hormones naturally. Achieving the correct hormone balance often requires dosage adjustments and regular monitoring through blood tests. Adhering to your prescribed treatment plan and maintaining regular follow-up appointments with your healthcare provider is key to managing your health and quality of life. Thyroidectomy may bring emotional and psychological challenges, but with proper support and care, many individuals successfully resume their daily routines, and quality of life improves.
Thyroid Surgery FAQ

Frequently Asked Questions

Answers to the questions patients ask us most about thyroid surgery, scarless options, recovery, and what to expect afterward.

Will I have a scar after thyroid surgery?

Many patients are candidates for scar-minimizing options. Transoral (TOETVA) surgery leaves no visible neck scar, and when a neck incision is needed it is small and carefully placed in a natural skin crease so it fades over time.

Am I a candidate for scarless or transoral (TOETVA) thyroid surgery?

Candidacy depends on the size of your thyroid or nodule, the underlying diagnosis, and your anatomy. We review your imaging and biopsy results to recommend the safest approach with the best cosmetic outcome.

How long does thyroid surgery take, and will I stay overnight?

Most thyroid operations take a few hours. Many minimally invasive patients go home the same day or after a single night of observation, depending on the extent of surgery.

How long is recovery after a thyroidectomy?

Most people return to normal activities within one to two weeks. We ask you to avoid heavy lifting and strenuous exercise for a short period while the incision heals.

Will I need to take thyroid medication after surgery?

If the entire thyroid is removed, you'll take a daily thyroid hormone replacement pill. After a lobectomy (removing one lobe), many patients keep enough function and may not need medication.

Will thyroid surgery affect my voice?

We use careful nerve-protecting technique to safeguard the nerves that control the voice. Temporary hoarseness can occur and usually resolves; a permanent voice change is uncommon.

What happens to my calcium levels after thyroid surgery?

The parathyroid glands that regulate calcium sit next to the thyroid and are carefully preserved. Some patients have temporary tingling in the hands or around the mouth, which is easily managed with calcium and vitamin D.

What thyroid conditions are treated with surgery?

Surgery may be recommended for thyroid nodules, goiter, thyroid cancer, and some cases of overactive thyroid (hyperthyroidism or Graves' disease) when other treatments aren't suitable.

How do I know if a thyroid nodule needs surgery?

The decision is based on biopsy results, the nodule's size and growth, and whether it causes symptoms. Many nodules are simply monitored. Learn more about thyroid nodules.

Is surgery used to treat thyroid cancer?

Yes. Surgery is the main treatment for most thyroid cancers. The extent of surgery depends on the type and stage, and may be followed by additional therapy when needed.

What is the difference between a lobectomy and a total thyroidectomy?

A lobectomy removes one lobe (half) of the thyroid, while a total thyroidectomy removes the whole gland. Your diagnosis determines which is recommended.

Where in Los Angeles is thyroid surgery performed?

Our practice is in Beverly Grove at the Cedars-Sinai Medical Office Towers (8635 W 3rd St, Suite 880W, Los Angeles, CA 90048), serving the Westside and greater Los Angeles.

Experience matters. Our surgeons have achieved the highest standard of recognition for their expertise and skill.

36,782

+

Successful Surgeries

126

Years of Combined Experience

More importantly, our team of world-renowned surgeons have saved countless lives, and have enabled countless more to live healthy, happy lives.

Serving Los Angeles

Thyroid Care Across Los Angeles

Our practice is in Beverly Grove at the Cedars-Sinai Medical Office Towers — convenient to the Westside and greater Los Angeles.

Beverly Hills
Beverly Grove
Mid-City
West Hollywood
Century City
Hancock Park
Brentwood
Santa Monica

Surgery Group LA — 8635 W 3rd St, Suite 880W, Los Angeles, CA 90048. Call (310) 861-7493 to schedule a thyroid consultation.

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Schedule a consultation with a Thyroid Doctor Near Me

Consulting with thyroid specialists is essential to ensure the effective management of your condition. Our team of experienced doctors specializes in thyroid treatment, providing expert care personalized to your specific needs. We are here to address your inquiries and support you on your path towards improved health.

310-861-7493

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