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Minimally Invasive Bunions Surgery

Minimally invasive, day case surgery due to keyhole surgery with no metal fixtures which is exclusive to The Private Clinic.

Keyhole surgery with no metal fixtures and no crutches, no downtime

Minimally invasive, day case surgery

Exclusive to The Private Clinic

15 years experience and 1,200 procedures performed each year

Keyhole surgery with no metal fixtures and no crutches, no downtime

Minimally invasive, day case surgery

Exclusive to The Private Clinic

15 years experience and 1,200 procedures performed each year

What's on this page
Medically reviewed by Lorcan Sheppard BSc MBBS FRCA, Chief Medical Officer and the Medical Advisory Committee for The Private Clinic.

Last Reviewed July 16th 2020

Related Cosmetic Surgery

For the majority of people who suffer from bunions, it is the appearance that bothers them and it can make choosing the right shoes or sandals for special occasions a challenge. For others the pain and swelling from bunions can really affect their everyday life, but the downtime associated with bunions removal surgery is often not an option.r everyday life, but the downtime associated with bunions removal surgery is often not an option. Our bunion keyhole surgery has changed this: there is now no bunion pads, no 6 months downtime, no crutches, no bunion scar, no metal screws or fixative devices.

Please take the time to book your consultation early on so you will not be disappointed.

At The Private Clinic of Harley Street London, we are excited to be able to offer a minimally invasive surgical bunion removal procedure, using keyhole surgery. The minimally invasive bunionectomy procedure was originally developed by Orthopaedic Consultant Surgeon, Dr Bianchi.

Is Hammertoe Surgery available?

Bunion surgery may also be necessary if the big toe pushes into the second toe, causing a painful hammer toe. Orthopaedic Consultant Surgeon, Dr Bianchi treats hammertoe with a similar method. Please mention this when you book your consultation at our London Harley Street Bunion Clinic.

Minimally invasive bunion surgery is exclusively available at The Private Clinic of Harley Street, London under the strict supervision of Orthopaedic Consultant Surgeon MD, Andrea Bianchi founder of PBS, the team who developed the percutaneous bunion surgery in 1996 and has supervised over 50,000 surgeries since.

Patient coordinator consultations for Bunion Correction surgery and hammer toe surgery are also available in BirminghamBristolBuckinghamshireLeedsManchesterBournemouth , Northampton and  Milton Keynes.

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Procedure Time

1 - 1.5 hours

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Return to Work

1 - 2 weeks

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Recovery Time

6 weeks

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Return to Work

1 - 2 weeks

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Procedure Time

1 - 1.5 hours

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Recovery Time

6 weeks

What are the advantages of the bunion surgery technique?

  • The keyhole procedure is able to remove bunions from the foot with a quick mini-invasive surgical procedure
  • No fixative devices such as screws, plates or wires
  • Patients are able to walk immediately
  • No crutches, no downtime and back to everyday activities
  • Scaring post-procedure is minimal, a 2-3 millimetres with no z shaped scar

Featured in:

See our Bunion Removal operation video

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Hear from Karen after her bunion removal procedures

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What to Expect

  • Consultation
  • Pre-Operation
  • The Procedure
  • Aftercare

The Consultation

Your bunion treatment journey will begin with a consultation with our Orthopaedic Consultant Surgeon, Mr Bianchi.

During your consultation time, you will have an X-Ray taken of your foot or feet which will help Mr Bianchi to assess your suitability for surgery.

At your consultation, your surgeon will discuss

  • Your medical history
  • Information about your bunion
  • Details of the procedure
  • Your expectations from surgery
  • Risks and Complications
  • Aftercare

Your consultation is also the best time to ask any questions you may have about the procedure and take a look at before and after photos to see what results can be expected from minimally invasive bunion surgery. You will be allocated a dedicated patient advisor following your consultation and they will be your point of contact should you wish to go ahead with the procedure.

Your pre-operative appointment

All of our cosmetic surgery procedures require a pre-op appointment with one of our experienced nurses. They will advise you of any precautions you need to take in the days or weeks leading to your bunion removal procedure. They will also perform any required tests and advise on any medication that you should stop taking ahead of your procedure.

Bunion Removal Surgery

Your bunion removal surgery will take place in hospital under local anaesthetic. You will be given an admission time which is usually an hour before the agreed start time of surgery.

Once admitted:

  • Our nursing team will record your blood pressure and prep you ready for surgery.
  • You will meet with your surgeon who will go through the procedure again and answer any questions or concerns you may have.
  • They will mark up your foot ready for surgery.

The procedure

Our bunion removal surgery procedure uses a revolutionary technique that does not require the fracture of the foot to be immobilised/rested in order to heal. The surgeon will use surgical dental burrs to correct the deformity and modify the bones of the foot.

  • Small 2-3-millimetre incisions are made which the surgical burrs are inserted through.
  • A special radiological device is used to allow the surgeon to see the bones and burrs without the need for larger incisions.
  • A series of small and precise fractures will be made that are referred to as geometric fractures. These fractures do not require fixative devices such as screws or pins which force the bone into place. They are instead left to heal naturally.
  • Once the bones are realigned, the fractures are left free to allow the foot to heal according to the patient’s load-bearing needs and not to a pre-set standard that may not be right for the patient.
  • The incisions are closed, and you will return to a recovery room to recover from the anaesthetic. 
  • Your foot will be bandaged and taped using a personalised bandaging technique which allows the physiological healing process to spontaneously restructure the foot and avoid any additional stress caused by arbitrary immobilisation. You will be required to wear this for up to 20 days before returning to the clinic.
  • Once our specialist nursing team are happy with your recovery post-surgery and feel you are safe to return home, you will be discharged and allowed to leave the hospital accompanied by a family member or friend.

You will then be encouraged to bear weight on your foot shortly after your procedure to encourage the correct physiological readjustments and you will be able to walk out of the hospital without the need for crutches after your procedure. The bones are left to heal in a more natural position which results in better comfort and functionality post procedure.

What happens at a bunion follow up appointment?

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Bunion Surgery Recovery

A member of our nursing team will call you usually the day following your procedure to ensure you are feeling comfortable and recovering well following your procedure and the anaesthetic. You will also have been given details of our dedicated on-call nursing team who can be contacted 24 hours a day, 7 days a week should you have any worries or concerns during your recovery time.

The effects of the local anaesthetic may last for some time, causing your foot to feel numb for 24-48 hours. You may also experience pain or swelling post-procedure and we advise resting with your leg raised and using pain relief such as paracetamol as required.

We encourage patients to walk on the treated foot to help it to heal in the correct position.

The change to the shape of your foot following Cosmetic Bunion surgery will be instant however you may not be able to see this due to the bandages that are applied to your foot post-procedure. You will be able to see your results when you return for your post-op check 2 weeks after your Cosmetic foot surgery.

Your first check-up will take place between 15-20 days post procedure. At this time, your medication will be changed, and your bandaging will be reduced. In most cases, you will also be able to remove your post-surgical shoe and wear comfortable shoes such as trainers. Your surgeon will then make any further check-ups that you need, and a follow-up x-ray will be arranged after 45 days to see the results which will take place at our London Harley Street clinic.

The Consultation

Your bunion treatment journey will begin with a consultation with our Orthopaedic Consultant Surgeon, Mr Bianchi.

During your consultation time, you will have an X-Ray taken of your foot or feet which will help Mr Bianchi to assess your suitability for surgery.

At your consultation, your surgeon will discuss

  • Your medical history
  • Information about your bunion
  • Details of the procedure
  • Your expectations from surgery
  • Risks and Complications
  • Aftercare

Your consultation is also the best time to ask any questions you may have about the procedure and take a look at before and after photos to see what results can be expected from minimally invasive bunion surgery. You will be allocated a dedicated patient advisor following your consultation and they will be your point of contact should you wish to go ahead with the procedure.

Your pre-operative appointment

All of our cosmetic surgery procedures require a pre-op appointment with one of our experienced nurses. They will advise you of any precautions you need to take in the days or weeks leading to your bunion removal procedure. They will also perform any required tests and advise on any medication that you should stop taking ahead of your procedure.

Bunion Removal Surgery

Your bunion removal surgery will take place in hospital under local anaesthetic. You will be given an admission time which is usually an hour before the agreed start time of surgery.

Once admitted:

  • Our nursing team will record your blood pressure and prep you ready for surgery.
  • You will meet with your surgeon who will go through the procedure again and answer any questions or concerns you may have.
  • They will mark up your foot ready for surgery.

The procedure

Our bunion removal surgery procedure uses a revolutionary technique that does not require the fracture of the foot to be immobilised/rested in order to heal. The surgeon will use surgical dental burrs to correct the deformity and modify the bones of the foot.

  • Small 2-3-millimetre incisions are made which the surgical burrs are inserted through.
  • A special radiological device is used to allow the surgeon to see the bones and burrs without the need for larger incisions.
  • A series of small and precise fractures will be made that are referred to as geometric fractures. These fractures do not require fixative devices such as screws or pins which force the bone into place. They are instead left to heal naturally.
  • Once the bones are realigned, the fractures are left free to allow the foot to heal according to the patient’s load-bearing needs and not to a pre-set standard that may not be right for the patient.
  • The incisions are closed, and you will return to a recovery room to recover from the anaesthetic. 
  • Your foot will be bandaged and taped using a personalised bandaging technique which allows the physiological healing process to spontaneously restructure the foot and avoid any additional stress caused by arbitrary immobilisation. You will be required to wear this for up to 20 days before returning to the clinic.
  • Once our specialist nursing team are happy with your recovery post-surgery and feel you are safe to return home, you will be discharged and allowed to leave the hospital accompanied by a family member or friend.

You will then be encouraged to bear weight on your foot shortly after your procedure to encourage the correct physiological readjustments and you will be able to walk out of the hospital without the need for crutches after your procedure. The bones are left to heal in a more natural position which results in better comfort and functionality post procedure.

What happens at a bunion follow up appointment?

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Bunion Surgery Recovery

A member of our nursing team will call you usually the day following your procedure to ensure you are feeling comfortable and recovering well following your procedure and the anaesthetic. You will also have been given details of our dedicated on-call nursing team who can be contacted 24 hours a day, 7 days a week should you have any worries or concerns during your recovery time.

The effects of the local anaesthetic may last for some time, causing your foot to feel numb for 24-48 hours. You may also experience pain or swelling post-procedure and we advise resting with your leg raised and using pain relief such as paracetamol as required.

We encourage patients to walk on the treated foot to help it to heal in the correct position.

The change to the shape of your foot following Cosmetic Bunion surgery will be instant however you may not be able to see this due to the bandages that are applied to your foot post-procedure. You will be able to see your results when you return for your post-op check 2 weeks after your Cosmetic foot surgery.

Your first check-up will take place between 15-20 days post procedure. At this time, your medication will be changed, and your bandaging will be reduced. In most cases, you will also be able to remove your post-surgical shoe and wear comfortable shoes such as trainers. Your surgeon will then make any further check-ups that you need, and a follow-up x-ray will be arranged after 45 days to see the results which will take place at our London Harley Street clinic.

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FAQs

  • What is a bunion?

    A bunion, medically known as a Hallux Valgus is a deformity of the foot often around the big toe. A bunion is often first noticed when a bony lump appears on the outside edge of the foot which forms over time when your big toe pushes against your next toe, forcing the joint of your big toe to grow and stick out the side of your foot.

    In more severe cases the big toe can point towards the other toes on your foot instead of sitting upright. Some people experience pain, redness and swelling but this will vary between individuals.

    Bunion symptoms and bunionectomy treatments can be discussed at a consultation at our London Harley Street Bunion clinic, click here to book.

  • Can you prevent bunions?

    As bunions are often genetic it can be hard to prevent bunions if you are predisposed to developing them. You can take care to ensure that your shoes fit your feet correctly and have a broad toe area. It is also recommended that you avoid wearing heels over 4 cm high. At The Private Clinic we recommend that you check your feet regularly to spot deformities before any pain arises.

  • What causes bunions?

    The main cause of a bunion is often down to congenital factors which mean you may be genetically prone to bunions, they run in the family or the shape and anatomy of your foot. In some cases bunions are acquired which means the bunion has developed from wearing ill-fitting and uncomfortable footwear.

  • Why are women are more likely to develop bunions during pregnancy?

    Genetics play a major part in the formation of bunions; this means that if your mother or grandmother suffer from them then it is likely that you will also develop them. During pregnancy the weight of the unborn child means that women tend to put more weight on the front of the foot to give them greater stability. This can cause the front of the foot to collapse, increasing the risk of painful bunions forming.

    Unfortunately, once bunions form, they will not go away without undergoing surgery. They can cause chronic pain, swelling and redness over the big toe joint, particularly after wearing tight-fitting shoes or shoes that don’t fit you properly. The symptoms of bunions can be eased by wearing wide shoes with a low heel and soft sole, bunion pads to reduce rubbing and taking regular painkillers to ease the discomfort.

    At The Private Clinic we can help to treat the bunion rather than just ease the discomfort. Our minimally invasive bunion procedure uses keyhole surgery with no pins or screws meaning you will be able to walk straight after the procedure and get back to your usual activities much sooner than traditional bunionectomy surgery. Book a consultation today to find out more.

  • How do shoes cause bunions?

    Ill-fitting shoes can cause bunions to develop at a more rapid rate as they are likely to be causing excessive pressure and compression on the toes causing the deformity. The compression increases when wearing shoes with high heels as your body weight will sit at the front of the foot. Rigid shoes can also increase the risk of bunions as they will affect the natural flexion of the toes as you walk which weakens your foot muscles and encourages the development of bunions.

    Your shoes should conform to the shape of your feet without squeezing or pressing any part of your foot.

  • bunion removal is Available in these Clinics
    Patient Stories

    Outstanding care, patient satisfaction and results mean everything to The Private Clinic Team

    “Best decision I have ever made! After decades of pain and being embarrassed by the shape of my feet, I now have beautiful, straight, pain free feet. The Procedure is exactly as described, had my operation and was walking out of the hospital an hour and half later. Dr Bianchi, Luka and their whole team are amazing and I would definitely recommend them to anyone considering bunion surgery.”
    -A.Q.

    “I was able to walk immediately after the operation!” *
    -Karen

    Marina. M
    Marina. M
    2020-11-16
    Verified review
    Dr Fallhadar did an exceptional job, he made me feel comfortable from start to finish. Fiona his assistant was also incredibly helpful and supportive throughout. They are so natural and I would highly recommend him to anyone, particularly if you want a natural and problem free result
    meryam
    meryam
    2020-11-15
    Verified review
    The derma pen training was very intensive in terms of the theory and both practical i learnt so many different techniques Dr Farah was amazing in her teaching skill and was able to Answer all my concerns
    Ana
    Ana
    2020-11-13
    Verified review
    I work with Mr Riaz Agha, a Harley Street Plastic Consultant Surgeon at one of his private clinics. I am impressed with not only his standard and quality of work but also the care and kindness that he shows to all of his patients and team. I have worked with a huge variety of different consultants over the years but Mr Argha really stands out and I would highly recommend him to friends and family, and of course if ever I consider to have any procedures in the future. Marie
    Joy Townsend
    Joy Townsend
    2020-11-10
    Verified review
    I had laser treatment on face by Emma, the results are amazing I can actually go foundation free. All the team were friendly and approachable.
    Lena Hayward
    Lena Hayward
    2020-10-31
    Verified review
    I had a breast reduction performed by Mr Navid Jallali. I am absolutely thrilled with the results. I have less backache and less neck ache. The size and shape are absolutely fabulous.The clinic was amazing. The nursing staff in the hospital were superb. I would not hesitate to recommend this clinic and Mr Jalalli to anyone wanting a breast reduction.
    Danielle
    Danielle
    2020-10-27
    Verified review
    A really positive experience. Alex is a fantastic patient co-ordinator, so friendly and reassuring. After a few changes of plan due to Covid lockdown, I feel so grateful to have had the opportunity to have Dr Fattah performing my procedure. Extremely thorough and precise from the first consultation, I really trusted him. My main aim was to restore my figure after children/breastfeeding, with a really natural look that would work with my lifestyle, gym etc. Dr Fattah really “got” this and I trusted his judgement on size of implant and placement completely. I’m absolutely delighted with the result and the aftercare support has been great – surgery follow up and then annual check ups for reassurance. Thank you team, wouldn’t hesitate to recommend ?
    Allielle
    Allielle
    2020-10-27
    Verified review
    From the start to finish of my T-Lift procedure, I felt in good hands. The entire team at The Private Clinic were very caring and professional. Mr Falladah is an excellent surgeon, he explained everything clearly -before and during the procedure – and has a calm and reassuring manner. Because I was well-informed regarding what to expect after surgery, I was able to manage with minimal pain medication, but I’m glad I took a couple of days off work to recover. I’m really pleased with the results – a five star recommendation!
    EH
    EH
    2020-10-26
    Verified review
    I had preservation rhinoplasty with Dr Rochira in December 2019. I couldn’t be happier with my results. The results are very natural-looking and I feel so much more confident with my side profile. Dr Rochira is an amazing surgeon and I instantly felt comfortable. He knew exactly what I wanted and was very realistic with the results in my consultation. Thank you!
    Lilly M A
    Lilly M A
    2020-10-25
    Verified review
    Dr. Rochira performed a preservation rhinoplasty on me in December 2019. I trusted his suggestions for my nose and now, 9 months later, I couldn’t be happier with the results I’m seeing. I did not experience any bruising at all, only swelling around my eyes for the first couple of weeks — my nose itself took a few months to settle and I feel like it has really grown into the rest of my features. I entirely recommend this surgeon if you are looking for a natural result and an extremely pleasant experience.

    Why Choose The Private Clinic

    Meet our Surgeons

    We are the UK’s leading cosmetic group and have some of the most experienced surgeons in the country working with us. Consultant general and Orthopaedic surgeon, Dr Bianchi joins us at our London Harley Street Bunion clinic to offer the bunion correction and removal procedure.

    Dr Bianchi carries out 1,200 minimally invasive bunionectomy and forefoot surgery cases a year.

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