Bunion Surgery In Miami, FL

Revive Hand & Foot Institute in Miami has established itself as a leading center for bunion surgery, offering advanced solutions for foot deformities. Our approach combines state-of-the-art techniques with comprehensive patient care for optimal outcomes. Dr. Ashot Oganesyan and Dr. Morad Askari bring their specialized expertise to each procedure, ensuring precise execution and attention to detail. Our minimally invasive methods reduce recovery times, improve cosmetic results, and maximize patient comfort.

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What Is Bunion Surgery?

Bunion surgery, also known as hallux valgus correction, adjusts a deformed joint at the base of the big toe. The operation aims to realign the joint by removing or reducing the bony bump and restoring normal toe position and function. Depending on the severity and specific characteristics of the bunion deformity, this orthopedic procedure can be performed using various surgical techniques. It usually takes one to two hours to complete, though this may vary based on the complexity of the case and the surgical method.
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Types of Bunion Surgery

  • Bunionectomy: A bunionectomy is a surgical procedure that removes the enlarged portion of bone at the base of the big toe. This procedure is typically recommended for mild to moderate bunions where the joint has not been significantly damaged. Dr. Oganesyan makes an incision over the bunion and carefully removes the protruding bone while preserving the surrounding tissue.
  • Osteotomy: An osteotomy involves cutting and realigning the bone to correct the deformed joint structure causing the bunion. During the operation, Dr. Oganesyan may use screws, plates, or pins to hold the modified bone in its proper position while it heals. This surgery is often recommended for more severe bunions where the bone needs.
  • Exostectomy: Exostectomy is a relatively simple procedure that removes only the bony bump without realigning the joint or surrounding tissues. It is typically only suitable for mild bunions where joint deformity is not a significant factor. This surgery provides significant cosmetic improvements in the foot.
  • Arthrodesis (Joint Fusion): Arthrodesis involves fusing the bones of the affected joint to prevent movement and relieve pain. This procedure is typically reserved for severe bunions, particularly in cases where arthritis has damaged the joint beyond repair. The surgery involves removing the damaged joint surfaces and using screws, plates, or other hardware to hold the bones together while they heal and fuse into a single, solid piece.
  • Lapidus Procedure: The Lapidus procedure is a more extensive surgery that involves fusing the first metatarsal and the medial cuneiform bone to address severe deformities. It is typically used when the bunion is large or when the first metatarsal joint is significantly unstable. The Lapidus procedure can be highly effective in preventing the recurrence of the bunion.
  • Keller’s Procedure: The Keller’s procedure is used for patients with advanced bunions and arthritis at the joint. This technique involves removing the head of the first metatarsal bone and the soft tissue around the joint. It is typically reserved for older adults or those with significant joint degeneration. Although the procedure results in smaller toes, it can relieve pain and improve function.
  • Minimally Invasive Bunion Surgery: This minimally invasive surgery, also known as a keyhole operation, uses tiny incisions (2-3 mm) to correct bunion deformities. With specialized instruments and real-time X-ray guidance, Dr. Oganesyan can perform bone corrections through these tiny openings. Compared to traditional open surgery, this technique typically results in less postoperative pain, smaller scars, and faster recovery, though it may not be suitable for all patients.

Consultation & Preparation for
Bunion Surgery?

Consultation & Preparation for Bunion Surgery?

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We highly recommend addressing bunions as soon as they emerge so that less invasive methods can be used. However, this condition can be corrected at any stage. The preparation begins with a comprehensive consultation with Dr. Oganesyan. During this initial meeting, he evaluates the severity of the bunion, reviews the patient’s medical history, and discusses various surgical options. X-rays are typically taken to assess bone structure and determine the most appropriate technique.

After having their bunions diagnosed, patients may need to undergo routine blood tests and a physical examination to ensure they are healthy enough for surgery. Medications, particularly blood thinners, may need to be adjusted or temporarily discontinued. Patients should arrange for post-operative transportation and assistance at home, as their movements will be limited after the procedure. Preparing the home environment by removing trip hazards and setting up a recovery area with essential items within easy reach is also crucial. Purchases of the necessary medical equipment, such as crutches or surgical boots, should be done before the operation date.

Bunion Surgery:
A Step-by-Step Procedure

Anesthesia
Dr. Oganesyan may use local or general anesthesia to ensure the patient feels no pain during surgery. The first option numbs the foot, while the second may be selected for more complex cases.
To access the bunion, Dr. Oganesyan makes one or more incisions on the side of the foot. The size and placement depend on the surgical method used.
Dr. Oganesyan cuts and realigns the metatarsal bone to correct the unstable joint. This may involve removing part of the bone or repositioning fragments to restore normal alignment.
After the bones are modified, ligaments, tendons, or joint capsules can be adjusted to help stabilize the toe.
Screws, pins, or plates may be used to hold the bones in place while they heal. These devices ensure stability during recovery.
Dr. Oganesyan closes the incisions with stitches to minimize scarring and prevent infection.
The foot is dressed with sterile bandages to protect the wound, and a special shoe or boot may be applied to limit movement during the initial recovery.

Anesthesia

Dr. Oganesyan may use local or general anesthesia to ensure the patient feels no pain during surgery. The first option numbs the foot, while the second may be selected for more complex cases.

To access the bunion, Dr. Oganesyan makes one or more incisions on the side of the foot. The size and placement depend on the surgical method used.
Dr. Oganesyan cuts and realigns the metatarsal bone to correct the unstable joint. This may involve removing part of the bone or repositioning fragments to restore normal alignment.
After the bones are modified, ligaments, tendons, or joint capsules can be adjusted to help stabilize the toe.
Screws, pins, or plates may be used to hold the bones in place while they heal. These devices ensure stability during recovery.
Dr. Oganesyan closes the incisions with stitches to minimize scarring and prevent infection.
The foot is dressed with sterile bandages to protect the wound, and a special shoe or boot may be applied to limit movement during the initial recovery.

Recovery After Bunion Surgery

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The recovery period after bunion surgery typically spans 6 to 12 weeks, though complete bone healing may take up to six months. During the first 14 days, patients must keep weight off the operated foot and maintain elevation to reduce swelling. A surgical boot or cast is usually required for protection, and crutches or a knee scooter help with mobility.
Pain management involves prescribed medications for the first few days, followed by over-the-counter drugs as needed. Swelling commonly persists for several months and can be managed with ice and elevation. Physical therapy often begins around week six and focuses on range-of-motion exercises and strengthening.
Most patients return to regular shoes between 6 and 8 weeks after surgery, starting with broader footwear. Normal activities can resume around this time, though high-impact exercises should wait until 3 to 4 months. Full recovery, including the ability to wear various shoe types and participate in all activities, typically occurs between 4 and 6 months after the procedure.

Candidates for Bunion Surgery

Bunion surgery is typically considered for individuals whose condition cannot be managed with non-invasive treatments. The decision to proceed with the operation depends on the severity of the bunion and its impact on daily life. Typical candidates include:
Candidates for Bunion Surgery: Persistent Pain Banner

People with persistent pain that interferes with walking or other activities

Candidates for Bunion Surgery: Toe Misalignment

Those with severe toe misalignment or visible deformity

Candidates for Bunion Surgery: Footwear Changes Banner

Individuals whose symptoms do not improve with conservative treatments like orthotics or footwear changes

Candidates for Bunion Surgery: Chronic Swelling Banner

Patients with chronic swelling or inflammation

Candidates for Bunion Surgery: Difficulty Wearing Shoes Banner

Those experiencing difficulty wearing shoes due to the size or shape of the bunion

Candidates for Bunion Surgery: Progressively Worsening Banner

Individuals whose bunions are progressively worsening over time

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Candidates must be in overall good health, which means the absence of severe conditions that could increase surgical risks. They should also be prepared for several months of recovery and limited mobility. Dr. Oganesyan screens each patient carefully, ensuring complete safety and excellent results.

Benefits of
Bunion Surgery

Bunion surgery addresses the underlying deformity and alleviates symptoms that affect mobility and comfort. Successful operations can lead to significant improvements in quality of life. The major benefits include:
  • Relief from chronic pain and discomfort
  • Improved alignment of the big toe
  • Enhanced ability to wear a wider variety of shoes
  • Increased mobility and ease of walking
  • Reduction in swelling and inflammation
  • Improved appearance of the foot
  • Prevention of complications, such as joint damage and hammer toes
  • Outpatient procedure
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Cost of Bunion Surgery in Miami, FL

The cost of bunion surgery in Miami ranges from $2,000 to $10,000, depending on various factors, such as the surgical technique used, the type of anesthesia, facility fees, and the doctor’s expertise. Patients can receive accurate price quotes during their initial consultation with Dr. Oganesyan.
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What Makes Us Different From Others?

Under the skilled guidance of Dr. Ashot Oganesyan and Dr. Morad Askari, Revive Hand & Foot Institute transforms lives through a blend of cutting-edge technology and personalized care. Our state-of-the-art surgical suites house the latest medical innovations, while our comprehensive approach ensures patients receive support from consultation through recovery. Combining Dr. Oganesyan’s expertise in podiatric medicine with Dr. Askari’s background in reconstructive surgery creates a powerhouse of surgical excellence, offering patients access to advanced procedures that promote faster healing.
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