The Cinderella Procedure®

“Designed as the most advanced solution for bunion surgery with a functional, simple recovery, and beautiful results.”

 

Check out all the buzz!

DRS.png

The Doctors Show

The Cinderella Procedure™

Dr. Sadrieh interviewed by Drs. Stork and Orden on The Doctors Show about the unique bunion correction, The Cinderella Procedure at evo advanced foot surgery.
NYT.png

The New York Times

Make Them Fit, Please!

Dr. Sadrieh interviewed by Laren Stover of the The New York Times on cosmetic foot surgery, talking about women and high heels, and the development of the practice.
WSJ.png

The Wall Street Journal

Toe The Line…

Dr. Sadrieh interviews with Melinda Beck of The Wall Street Journal on cosmetic foot procedures, and the philosophy aesthetic foot surgery and why it matters.
 

Incision, Dissection, Osteotomy, Fixation, Closure.  Beautiful.

Bunion Formation.GIF

To create a new bunionectomy, we had to take what's already good, and make it better. Modern bunion surgery typically involves an osteotomy, a controlled cut of the bone that allows for a reduction in the intermetatarsal angle. 

Over the past 30 years, surgeons have developed a variety of cuts improving each design for increased stability. Most of these however are still unstable without fixation, and require the patient to stay non-weight bearing for up to 8 weeks.

We developed a minimally invasive technique that utilizes a hybrid osteotomy, a stable cut with internal fiaxtion, allowing our patients to walk with a surgical shoe shortly after their procedure (1).

Cinderella wishes she had it this good!

The signature side incision technique… part of every evo aesthetic bunion surgery. When we introduced the concept of aesthetic foot surgery back in 2001, a new standard was introduced for excellence in bunion surgery. Obtaining a functional result is what every surgeon strives for, making a functional result beautiful is part of the core our our mission on every procedure we perform.

standard incision: on top of foot

standard incision: on top of foot

evofoot incision:  hidden on side of foot

evo incision: hidden on side

That's because we believe part of our obligation to you is to develop new procedures that hide our work. This is what makes the famous Cinderella Procedure® special. For the first time, you could get a bunion correction and not worry about wearing your beautiful open toe shoes because of the surgical scar. 

So every bunion and tailor's bunion procedure we perform, includes our signature plastic surgical, side incision.

“It’s all about the details. We obsess over the details.”

Functional foot surgery without an aesthetically pleasing result can lead to a disappointed patient. We develop all of our procedures merging the best of two specialties, advanced foot surgery with modern plastic surgical techniques.  No detail is too small, which is why we’ve also implemented the most advanced technologies to help get you better results. Think of it as foot surgery... for the 21st century.

Aesthetic Foot.png

Plastic Foot Surgery

Using the most advanced techniques, atraumatic soft tissue handling, sub-cuticular closure & topical silicone scar treatment, we’re able to deliver results that are only available at evo.
Infection Control.png

Silver Antimicrobials

Advanced dressings used to prevent infection. Slow release silver ions (Ag+) with absorbent alginate dressing reduces bacterial growth, reducing our infection rate to less than 1%. 
PRP Stem Cell.png

Stem Cell Therapy

Platelet Rich Plasma (PRP) stem cell application included in our procedures when needed.  This will advance healing, and potentially reduce scar tissue formation.
 

Super Bunion. Super Fixation.

Titanium, the Super Metal.

Ti22_fiayyh.png

To further enhance our bone cut, we added internal screw fixation. Studies show that bone healing with compressive fixation shows significant advantages (2).

We use the newest generation headless compression screws from Fusion Orthopedics, a superstar of innovative technologies in podiatric surgery. This system implements the most advanced screw design using surgical grade titanium. Titanium is the metal of choice for orthopedic fixation and implants because it is inert in the human body, immune to attack from bodily fluids, compatible with bone growth, and strong yet light, making it the most biocompatible of all metals (3).

With an elastic modulus similar to bone this metal shares the skeletal load more evenly. And finally, it is non-ferromagnetic (non-magnetic) allowing patients to safely get examined with MRI technology.

 

Get into shoes faster, get back to life sooner.

Modern procedures + Advanced fixation systems = Shorter more comfortable experience

Time before getting foot wet

Graphs+Bunion+Work-01.jpg
The average time for skin to heal is 2-3 weeks. Once the incisions are healed you can get your foot wet.

Time before resuming normal activity

Graphs+Bunion+Normal-01.jpg
After the 4th or 5th week, when x-rays show quality bone healing, you can begin transitioning to normal activity (4).
 

Time before getting back to work

Graphs+Bunion+Work-01.jpg
Once the skin is healed, you wear athletic shoes for 2 more weeks. During this time you can get back to work (5).

Average pain during recovery

Graphs+Bunion+Pain-01.jpg
Our average post op patient, pain scale questionnaires show that greater than 95% of our patients have little or no pain post op!

Special Features

 
Time Flies Grey.png

Simpler Recovery

Our procedures are designed to help get the patient back to life faster than traditional foot surgeries.  On average patients wear a surgical shoe for 2 weeks, and athletic shoes for 2 more weeks. During the recovery time, the patient is functional and able return to the majority of their day to day tasks.
Concierge Magic.png

Complimentary Concierge

Coordinating a surgical procedure is complicated.  Our patient concierge is there for you.  To answer all of your questions, and take care of all the things you need, to feel confident and supported in your endeavor.  At evo, you’re not alone.
iPhone.png

Surgeon Access

The key word in the “patient doctor relationship” is relationship… and every healthy relationship is based on communication.  It’s why we’ve always been directly available to our patients, 24 hours a day, 7 days a week.  No answering service, no barriers.

Send message here

 
Gift of Love.png

Included Accessories

We take our craft seriously, and appreciate that part of your success, is having the resources you need to heal without challenges.  So all our patients receive a complimentary post op kit that includes all the tools they need to succeed.  It’s our gift to you, for the privilege of serving you.  Learn more about the post op kit here.
Crown Narrow.png

Premium Experience

In today’s high speed world, it’s refreshing to work with companies that value people more than time clocks.  This has been one of the core principles at evo form the beginning.  We schedule linear, not stacked. Every one of our patients is a VIP… concierge medicine, without the concierge fee.
Insurance %.png

Financial Options

The financial landscape of healthcare is always changing, and not in the favor of the patient.  We believe that everyone deserves an evo foot, so we have multiple options for our patients, from using their health insurance for covered procedures, to using low or no interest payment plans.  Regardless of the challenges, we’re here to help you experience the evo way.
 

Important Notes

(1) This estimate is based on excellent bone quality, density that is determined in surgery; while walking post-op it is important to keep pressure off the surgical site. 

(2) Bone heals via the primary bone healing mechanism with compressive internal fixation which can bypass the 2° callus formation which is a slower pathway. 

(3) Emsley, John (2001). "Titanium". Nature's Building Blocks: An A-Z Guide to the Elements. Oxford, England, UK: Oxford University Press. ISBN 0-19-850340-7. 

(4) This time estimate is based on the average patient, you may heal slower or experience increased swelling delaying the ability to wear regular shoes and return to normal activity. 

(a) Average patient recovery compared to traditional techniques that require K-Wire fixation, or cast immobilization. 

(b) Incision must be healed before sutures can be taken out and foot can get wet, this time can vary. 

(c) Inflammatory response and swelling can increase this time, steps will be taken to reduce if symptoms present.

(d) Stem cell treatment is utilized when determined necessary by surgeon during pre-op consultation.

Schedule a consultation.

The best way to experience evo, is in person. We’re confident that your consultation will be second to none. Our team will follow up with you to complete the on-boarding process.