Published on Nov 18, 2016, modified on Sep 18, 2019 by Dr. Solomon (Podiatrist in NYC), Manhattan Foot Specialists

Your NYC bunion removal specialist Dr. Solomon offers a variety of the newest bunion treatment options (minimal incision, no scar). At Manhattan Foot Specialists the latest bunion surgery minimally invasive techniques are typically performed when conservative (non-surgical solutions) don’t alleviate your pain. Dr. Solomon, a top New York bunion surgeon, will choose a procedure that corrects your foot deformity (hallux valgus) with minimal scarring and recovery time as with a solution yielding an optimal cosmetic result. Come see our bunion surgery treatment center in Manhattan and meet Dr. Solomon, top bunionectomy doctor and bunion surgeon in NYC. Our doctors have experience, skill, knowledge and compassion. Get the bunion treatment you need in the safe, reassuring hands of the best bunion surgery NYC specialists.

What Is a Bunion?

A bunion refers to a bump on the base of the big toe joint, also called the metatarsophalangeal (MTP) joint. This bony bump is typically associated with the misalignment of the joint and is caused by different pathologies of the foot. It forms when the tissue or bone in your big toe moves out of place, causing it to bend towards other toes which results in a painful lump. Bunions are a progressive deformity, meaning that over time the bump slowly increases and becomes more prominent.

Bunion Surgery in New York

Your NYC bunions removal doctor, Dr Solomon can explain what the cause of your deformity is and how to correct or remove it. Visit the best rated bunion removal doctor in NYC to explore your surgical and non-surgical treatment options. Often people have a bunion deformity on both feet and correcting both deformities at the same time is referred to as a bilateral bunionectomy. We recommend correcting the deformity one foot at a time but in some instances, a bilateral bunion surgery may be indicated.

All symptoms, potential procedural, bunion removal options should always be discussed with your local podiatrist or New York bunion surgeon Dr. Solomon after a thorough consultation and examination for an accurate diagnosis and treatment plan.

Bunion Surgery NYC | Minimally Invasive Bunion Removal in New York City

Purpose of Bunion Correction Surgery

A bunion surgery is only performed when conservative, non-surgical solutions don’t alleviate your pain. Some of these conventional solutions include:

  • Switching to properly fitting and wider shoes
  • Placing padding on your toe
  • Taking anti-inflammatory medicine
  • Wearing orthotics

Bunions can cause your big toe to move towards the second toe, which over time can create a painful deformity. This can make it very hard for you to find comfortably fitting shoes. Your NYC bunions doctor, Dr. Solomon can explain the cause of your bunion and recommend the best bunion treatment in New York City.

By the time you visit a bunion surgeon Dr. Solomon you may have exhausted conservative measures and are already considering minimally invasive bunion removal surgery.

It is important to not rush into surgical correction without a thorough work up with a podiatrist Dr. Solomon or bunion doctor who will recommend a customized solution to your problem. A leading podiatrist in NYC Dr. Solomon can diagnose your bunion condition and tell you if minimal incision bunion surgery is a good option.

Symptoms that may indicate the need for minimally invasive bunion surgery include:

  • Intense pain
  • Decrease in toe mobility
  • Severe deformity of your foot
  • An inability to fit your foot into your shoe
  • A “crackling” sound in your toe as it moves

Your NYC bunion surgeon, Dr Solomon will need to know your complete medical history as well as if they deformity runs in the family.  X-rays are typically part of your bunion work up allowing Dr. Solomon, the bunion removal podiatrist to measure the extent of deformity as well as the correction needed for optimal surgical success. Your bunion surgeon will choose a procedure that corrects your deformity with minimal scarring and recovery time.

Minimally Invasive Bunion Surgery Before and After

bunion surgery in nyc | before afterBelow are the pictures that show bunion removal before and after from real patients who went through minimally invasive bunion surgery in our NYC center. The scarring after bunion surgery is minimal, when done by the best rated bunion surgeon Dr. Solomon. She is highly trained in innovative, minimal incision surgical techniques and using the most advanced surgical equipment available in USA.

During traditional bunion surgery many foot surgeons in New York make large incisions in some cases over two and a half inches long. The bunion surgery scar in above picture right foot is barely visible, thanks to no scar bunionectomy, a new minimally invasive technique. Dr Solomon specializes in performing the cosmetic bunion surgery with minimal or no scars.

According to the study published on PubMed in 2019: This new minimally invasive bunion procedure is more effective and reliable method of correcting foot deformities (hallux valgus) when compared to traditional procedures. It provides a higher level of satisfaction and excellent outcomes with low complication and recurrence rates. Furthermore, minimally invasive technique to correct or remove bunions improved the cosmetic results by avoiding formation of a scar.

Types of Bunion Removal Surgery

Because bunions range in size and shape, there are various types of surgical procedures (including minimally invasive) used to treat them. In most cases, surgery involves correcting the bone alignment and repairing the soft tissues around the big toe. Once our bunion doctor evaluates your condition, they will inform you about the type of surgery that will best treat your bunion.

Some of the most widely used types of bunion removal procedures are:

  • Osteotomy. The surgeon will make small cuts in your big toe joint to realign it to a proper position. This will straighten the bone and improve the joint balance. This is often combined with soft tissue procedures to better maintain the big toe alignment.
  • Exostectomy. The doctor will remove the bunion bump from your toe joint without doing an alignment. Exostectomy by itself rarely corrects the cause of the bunion and is usually just one part of the entire corrective surgery that includes osteotomy.
  • Arthrodesis. In this procedure, the arthritic joint surfaces will be removed and replaced with screws or metal plates until the bone heals to fix the deformity. This type of surgery is mainly used in severe bunion cases or for patients with severe arthritis.

Note: You shouldn’t get a foot surgery even if its minimal incision procedure just because you don’t like the appearance of your foot.

Bunions (Hallux Valgus) Deformity Stages

Bunions (Hallux Valgus) Deformity Stages

If symptoms of bunion is severe, surgery is the only effective treatment to relieve the pain. The most appropriate type of surgery depend on multiple factors, such as the extent of changes associated with bunion bump deformities as well as the bone changes and position of the bones in the foot. Dr. Solomon will explain the reasoning behind a particular decision in your specific case.

Surgical Bunion Correction in Midtown, NYC

Most bunion surgeries include removing the bump from the big toe joint and shifting the bone over. A leading bunion surgeon in NYC, Dr. Solomon will do a minimal incision over the deformity to get an optimal cosmetic result. To prevent the deformity from returning, the bunions specialist typically moves the metatarsal bone over to prevent re-occurrence of the bump.

Your podiatrist is surgically trained to correct this deformity and will guide you to the newest procedure such as laser bunion surgery (aka non-invasive bunion removal) that suits your lifestyle and expectations. You will follow-up with your local New York City foot doctor or Dr. Solomon, bunion removal specialist every 1-2 weeks during your recovery to check the bone healing via x-rays.

Risks From the Bunionectomy

Every surgery has risk factors even if performed by the best bunion surgeon in NYC. The risks associated with a bunionectomy are pain, infection, blood clot and damage to the nerves, as well as the potential re-occurrence of the bunion deformity.

Once you’ve decided to go ahead with the minimally invasive bunion removal surgery, your NYC podiatry doctor will discuss all the benefits, risks and alternatives to surgical correction and answer any questions you may have.

The anesthesiologist will be present on the day of surgery and will review your medical history and labs as well as discuss the type of anesthesia you will be having.

Is Bunion Treatment Painful?

Bunionectomy surgery performed in our NYC foot clinic is painless since ankle block anesthesia is used during the procedure. The majority of bunion surgeries are performed under local anesthesia with intravenous sedation. This results in your foot being completely numb during the procedure and you will also be given medications that will help you relax. However, once the anesthesia wears off, you will feel some moderate pain for the next few days following the bunion removal surgery in Manhattan.

Your pain may be slightly increased post-operatively for a few days. The amount of pain felt after bunionectomy will differ from one patient to the next. You can minimize the pain and swelling by closely following the after-care advice given to you by your bunion surgery doctor who may also prescribe medications to ease your discomfort.

The given instructions from your local podiatrist or our Manhattan foot surgeon Dr. Solomon will provide detailed information about how to care for your foot at home following the surgery for the first few weeks. Depending on the degree of your bunion treatment, you may be discharged with a special surgical shoe or cast to aid in bunion recovery. Most patients report the postoperative pain as fairly tolerable when combined with medication and a dedicated program to relieve the discomfort.

Bunion Surgery Recovery

Following the foot surgery bunion removal you will need to recover from anesthesia over a few hours. It is required to have someone to pick you up after surgery. The first few days after surgery are typically the most painful and your bunions doctor in Manhattan will prescribe you pain medication to alleviate those symptoms.

Contact your local bunion surgeon or Dr. Solomon if you experience any of the following symptoms after being discharged:

  • Chills
  • Fever
  • Warmth and redness in the area around the surgical dressing
  • Increased pain in the area of the surgery
  • Damp dressing that falls off
  • Swelling above your foot, around your calf
  • Soiled dressings
  • Calf pain or cramping

Rare Post-Surgical Complications

Just like with any other surgical procedure, there are risks associated with bunion surgery. Post-operative problems occur rarely and are usually treatable. Before your surgery, your Dr. Solomon will discuss the risks with you and take specific measures to effectively manage possible complications.

Since some of the patients have encountered post-operative problems, we list some of the possible complications of bunion removal procedure that include:

  • Infection
  • Nerve injury
  • Failure of the bone to fully heal
  • Stiffness of the big toe joint
  • Recurrence of bunions

Returning to Normal After Bunion Removal

After bunion surgery in our NYC bunion removal center, you can expect a return to normal lifestyle and activities in about six to eight weeks. A full recovery can sometimes take longer, as you may experience swelling for up to six months after surgery.

Other factors that influence your recovery after minimally invasive bunion surgery include:

  • The degree of your foot deformity
  • How type of bunion correction you received
  • Your age and general health
  • Compliance with surgical shoe and rest

Temper your expectations around the severity of your bunion surgery. If your procedure was mild and your NYC podiatrist or bunion surgeon only removed a small amount of bone and tissue, you can return to normal activity more quickly than if you had a more complex surgery.

best podiatrist in NYC Dr. Solomon may prescribe a special boot, shoe or cast to be worn for several weeks after your bunion removal to give your foot added stability.

Once your surgical incision is healed, your local doctor for bunion surgery or Dr. Solomon may suggest physical therapy and exercises to help you strengthen your foot and get you get to your normal life faster. These exercises improve your range of motion too. Adhering to the prescribed recovery regimen and following your surgeon’s post-operative instructions enable you to shorten your recovery time.

All symptoms, potential procedural/surgical options should always be discussed with your local podiatrist or the best rated bunion surgery specialist in New York after a thorough consultation and examination for an accurate diagnosis and treatment plan.

Published Data


According to “The Treatment of Hallux Valgus” study published on PubMed: “Analysis of the large number of retrospective studies with follow-up for up to 5 years shows that overall, 85% of patients are satisfied and have a good clinical result. Ten percent are less satisfied and show a less beneficial outcome, and in 5% the results of surgery are poor.”


According to “Prevalence of hallux valgus in the general population: a systematic review and meta-analysis” group study published on PubMed: Out of 496,957 participants grouped for meta-analysis, bunions (hallux valgus) were in:

  • 23% in adults aged 18-65 years
  • 35.7% in elderly people aged over 65 years
  • females to male ratio 30% to 13%

According to “Adolescent hallux valgus: a systematic review of outcomes following surgery” study. Out of 201 corrective osteotomies (129 females / 13 males):

  • 2%  cases of infections
  • 11.9% cases of post-operative pain
  • 4.5% scar hypersensitivity


Important Reminder: This information is only intended to provide guidance, not a definitive medical advice. Please consult a leading bunion surgeon Dr. Solomon about your specific condition. Only a trained, experienced board certified podiatrist or bunion specialist can determine an accurate diagnosis and proper treatment.

Do you have any questions about bunion surgery procedure in NYC? Would like to schedule an appointment with an internationally recognized, top bunion surgeon in New York, Dr. Sophia Solomon of Manhattan Foot Specialists, please contact our office for consultation.

Manhattan Foot Specialists
Dr. Sophia Solomon, Podiatrist (NYC Foot Doctor)
51 East 25th Street, Ste 409
New York, NY 10010
(Between Madison Ave & Park Ave)
(212) 389-9918

The information on this website is to provide general guidance. In no way does any of the information provided reflect definitive medical advice and self diagnoses should not be made based on information obtained online. It is important to consult a best in class NYC podiatrist regarding ANY and ALL symptoms or signs as it may a sign of a serious illness or condition. A thorough consultation and examination should ALWAYS be performed for an accurate diagnosis and treatment plan. Be sure to call a foot doctor or call our office today and schedule a consultation with the leading NYC foot surgeon Dr. Sophia Solomon.