Minimally Invasive Bunion Surgery in Fairfax, VA

A bunion isn't just a bump. It's a misalignment of the bones at the base of the big toe, and it usually gets worse over time. Traditional bunion surgery corrects that alignment through a large incision. Minimally invasive surgery (MIS) makes the same correction through a few incisions just a few millimeters long.

Smaller incisions mean less disruption to the surrounding tissue. For many patients, that translates to less pain, less swelling, smaller scars, and walking sooner in a protective shoe. Minimally invasive surgery is a clinical focus for Dr. Falco and a major part of Dr. Rafii's residency training. They'll tell you honestly whether you're a good candidate. Consultations are at our Fairfax office; surgery is performed at a nearby outpatient surgery center.

Who it's for

• Bunions that cause pain in shoes or during activity
• Bunions that keep progressing despite wider shoes and padding
• Bunions with a second-toe deformity or hammertoe
• Patients who want a shorter scar and faster early recovery
• Mild to severe deformities

MIS isn't right for every bunion. Severe arthritis in the big toe joint (hallux rigidus) or significant instability higher in the foot may call for a different approach.

What to expect

1. Consultation and X-rays. We measure your deformity, check the joint, and talk through your goals.
2. Surgical plan. If MIS fits, we explain the technique, recovery timeline, and time off work.
3. Surgery day. Typically an outpatient procedure. Using live X-ray guidance, the bone is cut and realigned through tiny incisions and held with screws.
4. Early recovery. Most patients walk within one week, depending on individual symptoms. Elevation is key for the first two weeks.
5. Return to normal. Many patients move to supportive sneakers around six weeks. Swelling continues to improve for several months.

Technique

The bone is cut and realigned through small portals, then fixed with screws placed through the skin. Because soft tissue is largely preserved, the correction is stable and the scars are small.

Dr. Andrew Falco and Dr. Shyaun Rafii each gained extensive minimally invasive experience during residency at MedStar Georgetown University Hospital, and then in their fellowships. They continue to stay up to date with the latest MIS techniques.