Bunionplasty® (Aesthetic Bunion Surgery)


Before and After Photos of Bunionplasty®

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  • Bunionplasty® Patient 2

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  • Bunionplasty® Patient 51

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  • Bunionplasty® Patient 16

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  • Bunionplasty® Patient 22

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  • Bunionplasty® Patient 31

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  • Bunionplasty® Patient 46

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  • Bunionplasty® Patient 3

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  • Bunionplasty® Patient 8

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  • Bunionplasty® Patient 10

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What is a Bunion?

A bunion, (medical term: hallux abductovalgus) is a condition resulting in boney prominence at the inside of the foot at the big toe joint. A bunion occurs when the big toe begins to deviate toward the second toe. The biggest misconception is that bunions occur from an overgrowth of bone. While that may be true in very few people, the bunion really represents a dislocation of the big toe joint as it bulges against the skin.

Symptoms Of Bunions

Most patients complain of pain directly on the bunion area, within the big toe joint, and/or on the bottom of the foot. The bunion may become irritated, red, warm, swollen and/or callused. The pain may be dull and mild or severe and sharp. The size of the bunion doesn’t necessarily result in more pain. Pain is often made worse by shoes, especially shoes that crowd the toes. While some bunions may result in significant pain, other bunions may not be painful at all.

Causes Of Bunions

Hereditary and shoe gear are probably the most likely causes. Tight pointy shoes (and high heels) may promote the formation of a bunion. A bunion may develop rapidly or develop slowly over time. Some people have bunions in their teens while others only develop a bunion later in life.

Bunions come in a variety of sizes – from small to severe. In some cases, the big toe may push against the second toe, and may result in pain and a hammer toe, or progress onto a severe disfiguring foot deformity. Depending on your overall health, symptoms and severity of the bunion, the condition may be treated conservatively and/or with surgery.

Bunion Treatment

Common reasons patients seek treatment for bunions are:

  • Bunion pain
  • Interference with walking/activities
  • Difficulty fitting shoes
  • Enlarging bunion
  • Pain at the ball of the foot
  • Unsightly appearance

Non-operative Treatments for Bunions

Non-surgical methods for bunions are aimed at decreasing symptoms (i.e., pain and/or calluses) and/or limiting the progression into a larger bunion.

Simple treatments patients can do are:

  • Wear supportive shoes
  • Use an arch support
  • Wear shoes with a wide toe box
  • Modify activities
  • Spot stretch shoes

Non-surgical treatments Dr. Blitz can add:

  • Anti-inflammatory Medicines: Prescription strength medicines to decrease pain and inflammation.
  • Physical Therapy: To strengthen poorly functioning muscles and stretch tight muscles that may be exacerbating the bunion. Special ultrasound techniques may reduce inflammation.
  • Custom Foot Orthotics: Dr. Blitz creates am orthotic with an exact mold of your foot to better align and support the foot to ease current discomfort and prevent future progression.
  • Bunion Splints or Pads: Specific pads may prevent pressure and physical irritation in shoes. Bunion splints and toe spacers physically realign the big toe and can lessen pain and halt or stall bunion progression.
  • Injections: Cortisone injections are strong anti-inflammatory agents to decrease pain, and swelling directly at the bunion region. Injections only treat the symptoms.

Bunionplasty® Success Story

Patricia: Bunion

Patricia: Bunion

I was extremely pleased with the surgery and I had absolutely no pain after the surgery and didn’t even take a Tylenol

Success story patient of Dr. Blitz. This patient had a Bunionplasty by Dr. Blitz and discusses her experience. She is pain free and very happy with her result.

My name is Patricia and I found Dr. Blitz online when I was looking for non-invasive bunion surgery. I had a small bunion which many doctors said was not worth operating on because of the pain, but the pain of the bunion was getting worse. When I came to Dr. Blitz, he said I know just what you need and we discussed it and had surgery within two weeks. I was extremely pleased with the surgery. I had absolutely no pain whatsoever, I never even took a Tylenol. I was walking on the foot the day after surgery with a boot, and within two months I was wearing my shoes. So I couldn’t be happier. My scar hardly shows, my foot is a hundred percent perfect and I have no more pain. How could I be happier?

Well choose Dr. Blitz because number one, his credentials are amazing. Number two, as a person and as a doctor, he is a wonderful individual. And I feel he’s very conscientious, does what you need and doesn’t try to convince you to do more.

I didn’t go to any other doctors because I was very impressed with Dr. Blitz’s credentials about which I read on the internet. And when I… actually the office called me, I signed up on the internet, they called me back within an hour and my experience here was excellent. The receptionist is a lovely person who I can’t say enough good things about her. And it’s been a totally excellent experience.

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Bunion Surgery (Bunionplasty®)

Depending on the severity/size of a bunion, there are several methods to surgically correct a bunion. In general, the surgery involves removing any prominent bone (“shaving the bunion”) and realigning the deviated bones.

How Are Bunions Surgically Corrected?

Bunion Procedures Dr Blitz The basis for bunion surgery (or bunionectomy) has classically been centered on the method with which surgeons use to realign the deviated bones. Bunionplasty (cosmetic bunionectomy) refers to the method with which the skin is handled (or managed) to limit scarring for a more aesthetic result.

While hundreds of bunion surgery operations have been described, surgeons generally correct bunions using one of two methods to realign the malaligned bones – they are bone cut (osteotomy) or bone mending (fusion).

  • Bone-cutting procedures involve creating a surgical ‘break’ (medically called an osteotomy) in the deviated metatarsal bone to realign only a portion of the bone. A variety of shaped cuts can be performed to treat varying sizes of bunions. Common surgical names for these procedures are Austin Bunionectomy, Scarf Bunionectomy, or Base Wedge Osteotomy. Dr. Blitz believes bone-cutting procedures are best for small or mild bunions.
  • Bone-mending procedures realign the entire deviated bone at the root of the problem, where the deviation originates. The name of this procedure is called the Lapidus Bunionectomy. Dr. Blitz typically recommends the Lapidus procedure for patients with moderate, large, severe or recurrent bunions.

Bunion Surgery Recovery

simple-post-op-dressingRecovery after bunion surgery generally depends on the method of surgery performed. In all cases, bone healing takes about 6 weeks in healthy people and there is no way to speed up that process. Patients often return to normal activities and shoe gear by 6 weeks to 3 months. Factors that may prolong healing are age, smoking, poor nutritional status, and some medical problems.

Note: Dr. Blitz’ Bunionplasty® patients go home in a simple dressing isolated to the foot. Dr. Blitz’ revolutionary techniques DO NOT use casting or large boots for any size bunion.

Walking After Bunion Surgeryfaas

Walking after bunion surgery is strongly dependant on the method (procedure) surgeons choose to correct the bunion and the techniques used to stabilize the bones while they mend.

Dr. Blitz’ advanced techniques and protocols, published in the Journal of Foot & Ankle Surgery, have revolutionized bunion surgery because it allows patients bear weight immediately after surgery in a stiff soled surgical shoe.

  • Small or mild bunions: Nearly all surgeons allow for immediate walking in a stiff soled surgical shoe. This is because the technique for correcting a small bunion is relatively simple, and the pressure of walking is less likely to displace the correction.
  • Moderate to large bunions: Dr. Blitz’ developed a provisionally patented medical device that holds the bones steady during the healing process, which has allowed nearly all patients to bear weight on the foot immediately after surgery. This technique has been called the “Early Walking Lapidus Bunionectomy.” Historically, larger bunions called for casting and crutches, but Dr. Blitz’ techniques and protocol have allowed patients to get back on their feet fast (without the need for crutches or casting).

Bunionplasty® Success Story

Noreen: Bunion

Noreen: Bunion

When I went back to work within one week, I was able to deliver babies [as an OBGYN]

Patient is an OGBYN who underwent bunion surgery on both feet at the same time. Dr. Blitz’ walking protocol after Lapidus Bunionectomy with the Contours plate allowed the patient to ambulate immediately after surgery and return to her work as a surgeon within 1 week after surgery.

Hi, my name is Noreen. I’m an OB/GYN, resident now attending and I had my… both bunions done by Dr. Blitz. II had really bad bunions and I can’t believe I’m admitting that on camera, but I had really bad bunions. And Dr. Blitz performed a Lapidus procedure on both feet.

When I first came to Dr. Blitz, I was very skeptical about bunion surgery because I was in the last year of residency and I had move around and walk around. And so… but I didn’t want to undergo surgery twice. So I came to him and I spoke to him about the recovery and he said it was much less with the procedure that he does and the plate that he developed. And I went with it.

I only had a week vacation where I was able to be off my feet. When I went back to work, within a week I was able to deliver babies, I was able to operate. I actually… week two, I did a four hour surgery standing straight. And basically the recovery is amazing. Totally what I didn’t expect. I expected to be immobile, I expected to be sitting in a house, not being able to do much and… but it was great. I had a great recovery.

I would definitely recommend Dr. Blitz for this surgery, for bunion surgery because I’m very happy with my outcome, I’m very happy with my recovery. I’m very happy with the patient care. There was not a moment where I needed to speak with him about any medications, any movement, anything that I needed, when I should exercise and so on, and he was there all the time. And it was definitely a great experience and I would definitely recommend him to anyone that is thinking about this surgery.

You should definitely do your research, you know, bunion surgery is not a small surgery, although I’m simplifying it a lot because Dr. Blitz made it a very easy transition. However, you should definitely see… you know, going to who’s done the procedure, how many they’ve done. In terms of my doctor, Dr. Blitz, he has done… I want to say thousands of bunions. And also he developed the plate that he put in both my feet. And so knowing the mechanism of the plate and how it’s placed because he developed it as very comfortable.

Before I met Dr. Blitz, I had been to different doctors exploring the surgery and when I came to Dr. Blitz, I felt very comfortable, he explained the surgery very thoroughly. He drew pictures. He gave a comforting feeling, you know, to the patient and it made me at ease and actually I decided in that first visit that I was going to do the surgery with Dr. Blitz.

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What Is A Bunionplasty®?

Dr. Blitz is the creator of the Bunionplasty® procedure. A Bunionplasty® is a cosmetic (or aesthetic) approach to bunion surgery where special plastic surgery techniques are used to hide, minimize or limit incisions. As with any plastic procedure emphasis is placed on the visual appearance of the end result, and in the case of the Bunionplasty®, involves both the skin aspect and how the bones are realigned.

It is important to have the proper bone realignment procedure, and not to sacrifice smaller incisions to achieve less scarring. Surgeons who specialize in Bunionplasty® can provide a both proper bone realignment while keeping incisions to a minimum or hidden.

The three types of skin procedures for Bunionplasty® involve:

  • Minimal Incision: Here small incisions are used to reach the bone. Dr. Blitz does not recommend this particular method for his patients because there is limited ability to manipulate the bones as they are poorly visualized, and therefore the bone correction is limited.
  • Hidden Incision: Rather than placing incisions on the top of the foot (like most bunion surgery, Dr. Blitz performs Bunionplasty® procedures on the inside of the foot. This way the incision is not visible when looking down on the foot. Additionally, the incision is strategically placed along the demarcation line where the skin from the top of the foot meets the skin on the bottom of the foot – a great place to hide incisions. Historically, only smaller bunions have been managed with this technique, but Dr. Blitz utilizes this technique for large and severe bunions where the incision is larger and uses the provisionally patented medical device he developed to hold the bone stable during the healing period.
  • Plastic Surgery Closure: Special plastic surgery techniques are applied to incisions on the foot the limit scarring for a more aesthetic result. Surgeons use deep sutures to hold the sin together, and run a fine suture within the most superficial layers of skin to keep the ends of the skin super close together so the incisions will be as minimally visible as possible. Dr. Blitz incorporates a plastic surgery closure into his Bunionplasty® technique.

comparision

Laser Bunion Surgery

While laser surgery is a popular approach for plastic surgery as its touted to have less scaring and improved recovery, it does not offer any advantage for bunion surgery. Laser is effective for soft tissues (not bone), and since much of bunion surgery involves properly realigning the bone, laser is not effective. For cosmetic approach, patients should look for surgeons experienced in Bunionplasty®.

What Anesthesia Is Needed For Bunion Surgery

It is often outpatient surgery – this means you go home the same day. The surgery can be performed under a local, regional, spinal or general anesthetic. Local and regional blocks, with monitored anesthesia care are most commonly performed. This means that the foot will be numbed with an anesthetic, and an anesthesiologist will provide intravenous medications to relax and provide sedation (often referred to as twilight).

Is Hardware Implanted Into The Foot With Bunion Surgery?

contourslpsIn order for surgeons to fix your bunion, metallic surgical hardware is needed to stabilize the bone. Common hardware involves screws and a plate. Either surgical stainless steel or titanium is used.

Dr. Blitz’ commonly performs Bunionplasty® surgery using the titanium implant he developed in conjunction with a leading orthopedic device manufacturer. Dr. Blitz’ holds a provisional patent on the device. This product (Contours Lapidus Plating System – www.contourslapidus.com) is used by surgeons nationally because of its unique features, innovative design, and ability to get patients moving faster.

Surgically hardware can remain in your foot permanently. Some patients choose to have the hardware removed simply because they want it out, or if it is irritating the skin from underneath. Dr. Blitz’ innovative Lapidus Plate was designed to avoid irritating foot, and hardware removal is extremely uncommon.

Bunionplasty® Success Story

Roula: Bunion

Roula: Bunion

I come from Jordan and travelled all the way to do the surgery with Dr. Blitz

Roula (and her husband) traveled 6000 miles from Jordan to New York City for Bunion Surgery with Dr. Blitz. She had both feet repaired with the Bunionplasty® procedure.

My name is Roula. I, I come from Jordan. I traveled all the way to do this surgery with Dr. Blitz. Actually I was very fortunate to locate Dr. Blitz through the, my, my online research. Our visit you know, to New York was one of the best—decisions.

Yes really this time cause we had a pleasant time, plus we, I did my surgery. Actually all the people I talked they say, they said why don’t you go to the states and do your surgery there? I would recommend people coming here and doing the surgery. I was coming here to do one foot and ended up doing two. So I’m really happy with it. I’m really pleased.

Even though we are international clients this is very difficult for, for, for us to travel to, to pay the expenses of a doctor, and to, to you know, you have sometimes when you, you come from other countries and other cultures you have doubts and, and certain issues. But you know, as we, as we, we communicate with his office, with the clinic we thought, we felt that there was some sort of relief because it was proficient.

I do recommend the people coming to you if they need foot surgery. Really it was a smooth procedure. The, the meeting, the first meeting was great. We had, we had all, all our answers, I mean all our, we had all our questions answered and we had the procedure explained to us. And the surgery went excellent. The pain was almost, I can say none.

You know we could have gone to Mayo Clinic, to John Hopkins, we have alternatives and we have all the, you know, the means to, to do that. We could have I, I was supporting her with all the you know, and the decisions that she would take I would, I would definitely support her on that. But she choose Dr. Blitz for the, for the procedure and then she, she was hesitant to, to go for two feet together. And after she met Dr. Blitz she chose to do the two together, which means a lot of confidence in, in his capabilities. I think, I think definitely this has a great impact on, on someone like Roula. She is a very cautious person. She, she, you know, she Google’s thousands of doctors. Once she takes a decision it’s definitely the right decision, so she took that decision.

Well Dr. Blitz was our best option, and we flew here. And–

The trust starts from, from the beginning. I mean you, you start, you make a phone call. We made some phone calls in Jordan sometimes; I don’t want to be negative about the physicians and doctors in Jordan. Because we have the best physicians in Jordan, but you felt from the beginning when, when, we felt from the beginning when we talked to, to here on the phone there was a sense of seriousness in taking our phone call seriously. We felt that there is some sort of high professionalism. And, and, and the appointments and the, the dedicated time by the doctor and his staff, it seems like it is not usually actually for us to, to find such, such–Yeah and the phone calls. Well I trusted Dr. Blitz.

What Are The Risks Of Bunion Surgery and Bunionplasty®

There are general risks of bunion surgery (or any surgery) and the use of anesthesia. Complications may occur and are not necessarily your fault, or the fault of your surgeon. Nonetheless, you should understand the risks.

Bunion surgery complications include, but are not limited to: infection, pain (temporary or permanent), swelling, hematoma, bleeding, blood clot, poor wound healing, incision breakdown, poor bone healing (delayed union, nonunion), malunion, nerve injury, disability, recurrence, hallux varus, metatarsalgia, unsightly scar, stiffness, shortness of toe, weakness in big toe, hardware problems, need for revisional surgery, and/or catastrophic loss.

Why Choose Dr. Blitz As Your Bunion Surgeon?

  • Overall Experience: Dr. Blitz has over 12 years of major experience in the field. He is considered an international expert in bunion surgery.
  • Board Certification: Dr. Blitz is Board Certified in Foot Surgery and Reconstructive Foot Surgery by the American Board of Podiatric Medicine (ABPS).
  • Peer-reviewed and General Publications: Over that past decade Dr. Blitz has published dozens articles, case reports, and letters in scientific journals on a variety of topics. Dr. Blitz has published in the Journal of Foot & Ankle Surgery, Achieves of Plastic Surgery, Clinics in Podiatric Medicine & Surgery, Podiatry Today, Huffington Post and the Mount Sinai Journal of Medicine.
  • Lecturer: Dr. Blitz has a solid history of lecturing on bunion surgery.
  • Innovator: Dr. Blitz is an innovator for bunion surgery as he has holds a provisional patent of a commercially available medical implant (www.contourslapidus.com) that is used by surgeons throughout the country.
  • Internet Research: A simple method to learn about your surgeons professional activates outside of his/her website.
  • Patient Feedback: Please visit Dr. Blitz’s Patient Comments page, or his Facebook page.
  • In The News: Dr. Blitz has been on various media outlets as an expert in foot surgery. See Dr. Blitz on ABC news for bunions
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