Tepezza Specialist

Raymond Douglas, MD, PhD -  - Oculoplastic Surgery

Raymond Douglas, MD, PhD

Oculoplastic Surgery located in Beverly Hills, CA & Long Beach, CA

Do red, bulging eyes stop you from feeling confident in your own skin? If you struggle with bulging eyes as a result of thyroid eye disease, Raymond Douglas, MD, PhD, has the right treatment for you at his office in Beverly Hills, California. A world-renowned oculoplastic surgeon, Dr. Douglas was heavily involved in the development of TEPEZZA — an FDA-approved breakthrough medication for those with thyroid eye disease. To learn more, call Dr. Raymond Douglas, MD, PhD, or book an appointment online today.

Tepezza Q&A

Read More About TEPEZZA Here


Who is TEPEZZA for?

TEPEZZA may be considered for patients with Thyroid Eye Disease. Candidates under the age of 18 should consult with Dr. Douglas to be evaluated for treatment.

What symptoms of Thyroid Eye Disease and Graves’ does Tepezza treat?

TEPEZZA addresses the physical signs and symptoms of Thyroid Eye Disease (TED) including reduction of proptosis (eye bulging), extra-ocular muscle size, mis-aligned eyes (strabismus), pain, redness, double vision and blurry vision. In many cases, TEPEZZA has demonstrated the ability to reverse TED almost entirely

Where can I get TEPEZZA?

At this time TEPEZZA is only approved for use in the United States. Our treatment center is located in Los Angeles, California and is currently accepting new patients. Dr. Douglas and his team have been the leaders in all clinical trials using TEPEZZA, as well as instrumental collaborators in its scientific development. It is safe to say that no one has more experience administering TEPEZZA than Dr. Douglas!

Can I be treated with TEPEZZA if I’ve already had surgery? (Eye or Thyroid)

Yes. In clinical trials, TEPEZZA has been shown to improve overall quality of life, decreasing eye bulging, pain and double vision. TEPEZZA may still benefit patients that have had previous surgeries on their eyes or thyroid.

Is TEPEZZA covered by insurance?

TEPEZZA is the first FDA-approved therapy for Thyroid Eye Disease that is covered by insurance. Please contact our treatment center to have one of our experts guide you in navigating the insurance process. There are also several assistance programs available to those who qualify. We have a specialized care team to help make this treatment a reality!

Do I need a consultation to get TEPEZZA?

A consultation is necessary to start treatment with TEPEZZA. If you do not live in the Los Angeles area, a virtual video consult may be appropriate. In fact, most patients were screened using video consultations. Please contact our treatment center to schedule an in-person or virtual consultation with Dr. Douglas.

What if I don’t live near an infusion center?

We are currently working on bringing an infusion center near you. However, many out of town patients travel to our center to undergo treatment with TEPEZZA. The procedure does not require any down time and most patients are able to travel home the same day. A trip to the center approximately every 3 weeks during the 24-week treatment period is necessary.

How long does it take?

The infusion of TEPEZZA takes about one hour. Infusions must be repeated approximately every 3 weeks during the 24-week treatment period.

When will I start to see results?

Patients documented seeing results within 6 weeks of starting treatment with TEPEZZA (2 infusions).

Does the infusion hurt?

TEPEZZA is administered via intravenous drip (IV). Most patients report the infusion process as being very easy, similar to getting a routine lab test. Dr. Douglas helped develop TEPEZZA and has more experience infusing the drug than anyone else.

What are the side effects?

TEPEZZA has been studied in approximately 700 patients. Side effects of TEPEZZA are mild and generally very well tolerated. Sort-term side effects may include muscle cramping (such as in the calves), diarrhea, nausea, headaches, dry skin, fatigue, dizziness, cough, alopecia and abdominal pain.

Do I need all 8 treatments?

For most patients all 8 treatments are required to prevent symptom relapse.

Who should NOT get TEPEZZA?

TEPEZZA is not for women who are pregnant, breastfeeding or those who plan to become pregnant within 6 months of treatment.

Can I get TEPEZZA instead of surgery?

TEPEZZA is a non-surgical alternative for treatment of Thyroid Eye Disease. The average final results are comparable to corrective surgery (such as orbital decompression) with analogous, lasting results. For many patients, treatment with TEPEZZA eliminates the need for surgical intervention.

Can I get TEPEZZA if my thyroid has been treated or removed?

Yes. TEPEZZA can be used on those who have no thyroid or a thyroid that has been treated.

How do I know if I should get TEPEZZA or surgery?

A consult with Dr. Douglas is necessary to determine whether TEPEZZA or decompression surgery is the best course of treatment. 

For more information about TEPEZZA, see HERE.

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  • This patient has completed 2/8 infusions (about 6 weeks into treatment) and is looking and feeling great. 

     “I took the photo on the right yesterday. I’m amazed at how wonderful my eyes feel! I can see so well and have not had any redness or swelling in the past week! Not even after my night shift! What a blessing. I haven’t felt good about my face in over a year so this is such a big moment! While I see small things that I know are not exactly the way I used to look, the improvement is just staggering!“


  • This patient just finished her last infusion of TEPEZZA! It’s been hugely successful for her — the pictures speak for themselves! 

    Thyroid Eye Disease is a horrible disease. First infusion December 13th vs. final infusion May 8th. This has affected every area of my life from self-esteem and confidence to mood swings and social interaction just to name a few. Tepezza is such a game changer. I can't say enough good things about it. Very little side effects and tremendous results...They have the best staff and I could never thank them enough!”


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