This patient had advanced thyroid eye disease with retracted eyelids and bulging eyes that were painful, red, tearing, and dried out. This led to fluctuating vision. She underwent bilateral decompressions in which fat around her eye was removed, as well as parts of the bones around her eyes, with great results. She then had upper eyelid retractor recessions and bilateral canthoplasties. She now has total relief of all of her symptoms and loves the way she looks.