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Minimal incision Tailor's Bunion without any internal hardware. Faster healing with Regenerative Medical Therapy

June 10, 2026
Tailor’s bunion.  We performed a tailor’s bunion correction which is an osteotomy of the fifth metatarsal. We use no internal fixation. This is performed in our office under local anesthesia. The patient is able to ambulate immediately. The following is an example of a patient who has poor skin turgor. It would be extremely detrimental to perform the surgery using the open technique. These procedures are usually done in the hospital or surgery center under general anesthesia. We perform these under local anesthesia in the comfort of our own office.

How minimal incision tailor’s bunion surgery differs from hardware-based surgery

 For some patients, a tailor’s bunion can be corrected with a minimal incision approach that reshapes the fifth metatarsal without plates, screws, or internal hardware. At Comprehensive Foot and Ankle Institute in Hoffman Estates, Dr. Sutpal Singh, DPM, FACFAS evaluates each patient individually and, when appropriate, performs the procedure in the office under local anesthesia so patients can walk immediately after the visit. 
  • No internal hardware: the goal is correction without permanent screws or plates when the patient is an appropriate candidate.
  • Smaller-incision approach: minimal incision bunion surgery may reduce tissue disruption compared with open techniques, while still requiring a personalized clinical evaluation.
  • Regenerative support: Class IV laser therapy, acoustic shockwave therapy, stem cell-like injections, and oral peptides may be discussed as consultation-based options to support healing.
  • Concierge care model: Dr. Singh personally evaluates the foot structure, skin quality, activity goals, and recovery needs before recommending a treatment path.
 If you are comparing tailor’s bunion treatment options, review our foot and ankle services or request an appointment to discuss whether a no-hardware approach may be appropriate for you. The above picture is the preop photograph of the patient with a severe Tailor’s bunion deformity. Note that the fifth toe is also curling under the fourth toe.This photograph shows the patient after 8 weeks undergoing our special technique of minimal incision surgery to correct the tailor’s bunion and the fifth toe. This patient had no internal hardware placed. The painful tailor’s bunion has now been resolved. We also use regenerative medical therapy to help speed up the healing process. This includes Laser Therapy, Acoustic soundwave therapy, Stem cell like injections as well as the use of oral Peptides.

For patients comparing broader bunion options, Dr. Singh also offers minimally invasive bunion surgery without hardware consultations in Hoffman Estates.

Patients researching toe deformity options can also learn about hammertoe correction without hardware with Dr. Singh in Hoffman Estates.

About the Author

Dr. Sutpal Singh, DPM, FACFAS

Board-Certified Foot & Ankle Surgeon

Dr. Sutpal Singh is a third-generation physician and double board-certified foot and ankle surgeon with over 30 years of experience. A UCLA honors graduate in Biochemistry, he completed his medical education at the California College of Podiatric Medicine and surgical residency at VA West LA. Dr. Singh holds advanced fellowship training from the Russian Ilizarov Scientific Centre, Duke University Medical Center, Johns Hopkins University, and Columbia Presbyterian — specializing in complex reconstruction, minimal incision surgery, and peripheral nerve surgery. He is a Fellow of the American College of Foot and Ankle Surgeons (FACFAS) and a certified specialist in Regenerative Podiatric Medicine. At the Comprehensive Foot and Ankle Institute in Hoffman Estates, IL, Dr. Singh offers innovative alternatives to traditional surgery — including stem cell therapy, Class IV laser therapy, and shockwave treatment — with a focus on restoring mobility and quality of life.