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MIS Bunion Surgery in Michigan | Minimally Invasive | Dr. Tom Biernacki

MIS Bunion Surgery — Modern Bunion Correction Through Tiny Incisions

The fast answer: MIS bunion correction uses 3-5 tiny percutaneous incisions (each 2-3mm) to realign the bunion. Patients typically walk in a boot from day 1, off pain medication within a week, and return to athletic shoes by 6-8 weeks. Best for mild-to-moderate bunions and patients prioritizing cosmetic outcomes.

What Is MIS Bunion Surgery?

Modern technique using tiny puncture incisions instead of traditional 3-4 inch open cuts. Specialized burs make precise bone cuts. Bone is realigned in 3D and stabilized with small screws. Closure with steri-strips. Result: same correction as open surgery with significantly less scarring, less soft tissue trauma, faster recovery, lower infection risk.

Who Is a Candidate for MIS Bunion Surgery?

Best candidates: mild to moderate bunions, cosmetic-conscious patients, active adults wanting fast recovery, those who can’t take 6+ weeks off work. NOT ideal: severe bunions (Lapiplasty better), significant joint hypermobility, recurrent bunions, severe arthritis, active infection.

MIS Bunion Recovery Timeline

Day 1-3: Elevation, ice. Most off opioids by day 4-5.
Days 4-14: Gradual weight-bearing in boot. Driving (left) week 1-2, (right) week 2-3.
Weeks 2-4: Walking distance increases. Some patients off boot at week 4.
Weeks 4-6: Out of boot in athletic shoes. Begin PT.
Weeks 6-8: Most patients in regular athletic shoes.
Weeks 8-12: Full athletic activity for most. Light running.

MIS Bunion vs Lapiplasty — Direct Comparison

MIS Bunion: 3-5 tiny holes, 10-25% recurrence, 6-8 weeks to athletic shoes, $9K-$14K. Best for mild-moderate bunions, cosmetic priority.
Lapiplasty: Open incision, 1-2% recurrence, 6-8 weeks to athletic shoes, $11K-$18K. Best for moderate-severe, recurrence prevention.

MIS Bunion Cost in Michigan

Self-pay: $9,000-$14,000.
Insured out-of-pocket: $1,500-$5,000.
Insurance: Most cover when conservative treatment documented.

Frequently Asked Questions

How soon can I drive after MIS bunion surgery?

Left foot: 1-2 weeks. Right foot: 2-3 weeks (off opioids, comfortable in boot).

When can I return to work?

Desk job: 1-2 weeks. Standing job: 4-6 weeks. Heavy labor: 8-12 weeks.

When can I run again?

Most patients return to running at 12-16 weeks (3-4 months).

Will the bunion come back?

Recurrence rate 10-25% over 10 years for MIS. Lapiplasty has 1-2% — better choice if recurrence is a concern.

Will my scars be visible?

At 1 year, MIS bunion scars are usually 2-3mm dots that are barely visible.

Is MIS bunion surgery painful?

Less painful than traditional. Most patients report 4-6/10 pain first 48 hours, dropping to 2-3/10 by week 1.

Does insurance cover MIS bunion?

Most do, with documented failed conservative treatment. We handle pre-authorization.

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Frequently Asked Questions

When should I see a podiatrist?

If symptoms persist past 2 weeks, affect your normal activity, or are accompanied by red-flag symptoms (warmth, redness, swelling, inability to bear weight).

What does treatment cost?

Most diagnostic visits and conservative treatments are covered by Medicare and major insurers. Out-of-pocket costs vary by your specific plan.

How quickly can I get an appointment?

Most non-urgent cases see us within 5 business days. Urgent cases (sudden pain, possible fracture) typically same or next business day.

Balance Foot & Ankle surgeons are affiliated with Trinity Health Michigan, Corewell Health, and Henry Ford Health — three of Michigan’s largest health systems.