Tuesday, April 30, 2024

The Game-Changer in Bunion Surgery: Scarless, Minimally Invasive Techniques

Are you suffering from the agony of bunions, contemplating surgery, but deterred by the thought of scars and lengthy recovery times? If so, then this might just be the game-changer you've been waiting for.

Bunions, those painful bony bumps that develop at the base of the big toe, can wreak havoc on your mobility and quality of life. For many, the traditional approach to correcting bunions involves invasive surgery, leaving behind noticeable scars and requiring extensive recovery periods. However, there's a revolutionary alternative that's transforming the landscape of bunion treatment: Scarless, Minimally Invasive Bunion Surgery.

Imagine undergoing bunion surgery without the fear of visible scars, minimal recovery time, and virtually no pain. Sounds too good to be true? Well, thanks to advancements in medical technology and innovative techniques pioneered by professionals like Dr. Kevin Lam, the Lam Bunionectomy or Scarless Bunionectomy is now a reality.

Dr. Kevin Lam has not only refined the traditional bunion surgery technique but has also taken it a step further by developing a minimally invasive approach that can be performed right in the comfort and safety of an office surgical suite. This groundbreaking method not only offers the benefit of minimal scarring but also ensures a quicker healing process with significantly reduced risk of complications.

Here's why No Scar Bunion Surgery is gaining traction and why you shouldn't consider any other option without exploring this innovative approach:

1. Minimal Recovery Time:

 Traditional bunion surgery often involves weeks or even months of recovery time, during which patients may experience discomfort and limitations in their daily activities. However, with Scarless Bunion Surgery, the recovery time is significantly shortened, allowing patients to return to their normal routines much sooner.

2. Virtually Painless: One of the biggest concerns for individuals considering bunion surgery is the fear of pain during and after the procedure. With the minimally invasive approach used in Scarless Bunion Surgery, patients experience minimal discomfort both during the surgery and throughout the recovery process.

3. No Visible Scars: Unlike traditional bunion surgery, which often leaves noticeable scars, Scarless Bunion Surgery leaves behind minimal to no visible scarring. This is particularly appealing for individuals who are conscious about their appearance and wish to avoid the tell-tale signs of surgery.

4. Office-Based Procedure: Scarless Bunion Surgery can be performed right in the office surgical suite, eliminating the need for hospitalization and providing added convenience for patients. This not only reduces the overall cost of the procedure but also ensures a comfortable and familiar environment for patients undergoing treatment. 

5. Reduced Risk of Complications: Dr. Kevin Lam's modified technique for Scarless Bunion Surgery has demonstrated a remarkable track record with no post-operative infections related to the procedure to date. This speaks volumes about the safety and effectiveness of this innovative approach. Patients undergoing surgery in office clinics may benefit from a lower risk of post-operative infections, contributing to better overall outcomes and faster recovery.

So if you're considering bunion surgery, don't make a decision without exploring the option of Scarless Bunion Surgery. With its minimal recovery time, virtually painless experience, and no visible scars, it represents a paradigm shift in the field of bunion treatment. Consult with a qualified healthcare professional, such as Dr. Kevin Lam, to learn more about this groundbreaking technique and how it can help you put an end to the misery of bunions once and for all. Say goodbye to pain, scars, and lengthy recovery times – and hello to a future of improved mobility and comfort.


Video transcription:

This foot --  minimally invasive surgery at about three months ago we did this foot  again, we did the whole forefoot pretty much, this one left we did it  -- as you can see the marking for the Weil osteotomy, the bunionectomy, this one still has the pin and we're a little bit about two months -- a little more, plus or minus two months.

"It's two months". 

Two months exactly. Okay thank you for correcting [patient laughs] but that looks great, that looks awesome, just a couple weeks behind, she's a brave one to do both feet at the same time but now you have two regular-looking feet. What do you think?

"Happy, happy, Very happy."

Well that's the incision right there and this is the incision right here two months and three months out, going back in sneakers, a little bit more recovery on this one but we're gonna pull the pin today so let's go. Both bunionectomies were done. Where's the scar -- there are none, right there. Both feet have been done. Looking good, looking good. there's the scar there's the scar, it's really not much, we're doing a follow-up today, the lady came from Orlando, home of Mickey Mouse. Looks really good there, awesome.


This was the previous patient, this is the post-op x-ray today. How long ago since the surgery dear?

"Oh, this was July -- one June, one July."

One June, one July, we are in October. Looking good, everything looks good, hardly any pain, her -- as you can see, she's doing very, very well. This is the beauty of the minimally invasive surgery, we did Weil osteotomy number 2, 3, 4, and 5; did hammer toe correction number 2, 3, 4 right here and 5 you see the incision is quite small right here, small incision, a small incision hidden right there, small incision hidden right in there, we have 2, 3, 4, 5 metatarsal, so we're able to cut the bones through the skin with the aid intraoperative fluoroscopy and you said your husband said your toes are what again?

[Patient laughs] "Look the best they have in years".

Beautiful, well I'm glad you like it, it's going to continue healing and you're going to do great dear.


This is 11 weeks, we have the Peabody -- reverse Peabody bunionectomy and then we had second metatarsal Weil osteotomy, so we -- she had a lot of pins on met 2 so we did a plantar surgery of the first ray metatarsal head, there's your scar and then here's your scar for the tailor's, here's your scar for the Weil osteotomy where we cut the second metatarsal in order to realign the joint so far it looks really good, it's 11 weeks, back to golf, back to your activity. I think you're going to continue to get better


It's awesome.

Dr. Lam just taking a little break in between my day had an awesome visit with one of my patients, she's 3 years out of the minimally invasive bunionectomy, a very young active female. And  as you could hear from her own story 

I didn't think she would wear high heels again or dance or etc. I set her expectations straight, she came to me with some arthritis in the big toe joint as well as the second toe joint as you can see on the x-ray you'll see two screws in there because I had to go ahead and fix that second toe joint too because it was dislocated, hammertoe etc.

So she comes in three years later her complaint is 4th and 5th toe pain and contracture we didn't quite address those the last time because that wasn't bothering her, so the things we did address is the bunion, the hammer toe, the dislocated joint, she was in pretty bad shape, she could not walk, could not run and I'll be realistic, you know, can't promise the world when you come in with already arthritis in those joints already, so we took a risk, I told her that likely she won't be able to run or wear high heels. Anyway I'll make her look better but 3 years later she's as happy can be, referred to me a lot of patients for the minimally invasive bunionectomy you'll see on the x-ray, you'll see the results what it looks like 3 years after surgery, the healing is awesome.

Patient does not feel any pain when we did the surgery, she has  fourth and fifth toe hammertoe, it happens, they are live tendons moving around in there so we just have to fix that, considering the circumstances she is very happy, she actually exceeded expectations where she can actually go and dance and run and cycle and stay active, she's a very active young lady and you know, it brings me joy to see these patients come back three years, four years, five years out of their Lam bunionectomy and you know that their life has changed, it's a big life-changing experience sometimes with these bunionectomies you never would think she referred a friend and neighbor to me, we're going to fix her soon but you know, there's really no need to wait to get the bunionectomy nowadays, believe it or not over the last -- I would say a few months, right now I've been starting to use the uh minimally invasive Arthrex burr, we started using it, utilizing a saw as it's described, a power saw, I really didn't like that so I went ahead and went away from the power saw because it could generate heat and damage to tissues so went away from that, I went back to the old osteotome which is a chisel and a hammer, the reason why we did that was because to limit the amount of heat to limit the amount of soft tissue damage and that worked really well, that's what this lady had but now within the last few months last half of the year, I would say 2018, Arthrex came out with this soft tissue burr that does not cut -- I mean not soft tissue bone burr that does not cut soft tissue so it's the opposite of what's just said it does not cut soft tissue so which is great it can -- we could go ahead and cut bone and selectively cut bone and not cut tendon, nerve, and vital structures and makes the minimally invasive bunionectomy more minimally invasive, believe it or not, it's just a one stitch, one stab incision, it's not even an incision at all; not even --  it used to be three to six millimeters incision now it's a stab, a stab wound, that's all it is, to get the burr in there and make the cut

The cut is faster and more accurate. And I'm very excited about this guys it's a great advancement in bunion surgery a lot of times patients ask -- I even get calls from other doctors, physicians asking what makes your bunionectomy so different?

Well if you read my website, the bunionectomy is different, we use the minimally invasive method a few of us do it in the United States, it's an adaptation for an older procedure but you know, sometimes the classic is better we don't do a lot of soft tissue damage that's why it's minimally invasive. Our patients do really well with that; proof is in the pudding, follow the next part of this video, subscribe to me on YouTube, you can find me on Instagram, Dr. Kevin Lam, the proof is in the picture and the pudding and the patient testimonials. This is a great way of getting a bunionectomy done, 99% of my bunionectomies are done this way nowadays, there are other reasons why I wouldn't do it but majority of my patients do get it, it's catching a wave that Arthrex, a big orthopedic company as well as Wright Medical has been promoting such minimally invasive surgery, it is catching but not a lot of people understand it yet, not a lot of people in my profession understand or the orthopedic or podiatric community really understand this procedure, you really have to see it to believe it but I've been doing it for years and patients love it, 99% of my patients go through this bunionectomy. Again check it out, go ahead subscribe to my channel you'll see a lot more of these videos with patient testimonials involved, okay thank you

Minimally invasive bunionectomy, three years out, how are you liking it?

"I love it". 

Yeah well thanks for referring your friend I almost forgot .

"Oh gosh, yes. I can wear high heels and you said i wasn't going to be able to for a while, and i wear the highest heels ever"


Well good, we have your alignment in place, there's no bump on the side ,the bump is gone, it's  sort of like that, resorbed a lot and there's really no scar

"No scar at all and I was back running. Within a few -- I'd say a month and a half"

Beautiful. Now your back, we'll fix the other two toes, number four and five those are hammer toes but not a big deal, we'll get you taken care of, okay? 

"Thank you so much". 

You were awesome.

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