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Hand Surgery

Hand Surgery in Las Vegas, NV

79 Procedures ( View All )

What is hand surgery?

Las Vegas, NV board-certified plastic surgeon Dr. Christopher Khorsandi is also an experienced hand surgeon. To further his surgical skills early on in his training, Dr. Khorsandi studied minimally invasive hand surgery and peripheral nerve reconstruction. As a result, Dr. Khorsandi is able today to produce a functioning hand with a normal, healthy appearance. Hand surgery is a highly specialized  microsurgery that repairs a hand that has suffered severe trauma, has a congenital disfigurement, has tendon/nerve damage, or other injuries. It is important to find a hand surgeon who has the mastery of both hand biomechanics and aesthetic appeal.

Conditions Treated

One of the most disabling conditions a person can suffer involves the hand. After all, we use our hands for everything, from small mundane tasks to heavy lifting. There is a multitude of hand conditions that can affect function and appearance, but with the advancement of today’s technology and medical knowledge, most of these conditions can be corrected. Some common conditions include:

  • Ulnar Neuropathy: Affects one of the three main nerves that innervate the hand. The ulnar nerve gives the hand its strength, and malfunctions with the nerve can lead to motion and sensory problems. Some symptoms of this type of neuropathy may include weakness in the hands, numbness and tingling of the fourth and fifth fingers, elbow soreness, or weakness of the interossei muscles.
  • Dupuytren's Disease: Occurs when the tissue under the skin becomes thicker in an abnormal fashion. The condition occurs in the palm of the hand but can also affect the fingers, which is known as Dupuytren’s contracture. There are times when a person affected by the disease will also experience thick skin on top of the knuckles; this can happen on the soles as well.
  • Ganglion Cysts: Small, fluid-filled lumps in the wrist and hand. They form next to joints and tendons on the top or palm side of the wrist and on the bottom or top joint of a finger. The cysts may be soft or hard, symptom-free, or quite painful. They are no more than an inch long, and some are too small to see. Ganglion cysts are almost never malignant, do not spread, can appear in people of all ages, and sometimes disappear without medical intervention.
  • Tennis Elbow: A painful arm condition that usually results from overexerting the arm. While such overuse is generally associated with playing tennis, it can occur as a result of any action that requires repetitive movement of the arms and wrists. The professions often associated with this condition include mechanics, plumbing, carpentry, butchery, and painting. If the condition remains untreated for some time, it can worsen and lead to extreme pain.
  • Trigger Finger: A condition that is very painful and results in the fingers or the thumb of an individual’s hand locking or catching when they are bent. If it is the thumb that locks or catches, it is then called a trigger thumb. Trigger finger affects individuals in varying ways.
  • Carpal Tunnel Syndrome: A common condition affecting the “MEDIAN” nerve of the hand. It is essentially a pinched nerve in the wrist that leads to pain, numbness, weakness, loss of dexterity, and loss of hand function over time.

Other Common Conditions

  • Congenital conditions (polydactyl or syndactyly)
  • Vascular or circular issues
  • Rheumatoid arthritis
  • Tendonitis
  • Tumors, cysts, or cancers
  • Traumatic injuries
  • Open wounds, scars and burns

Surgical Technique

There is not a single standard procedure for hand surgeries. Each procedure is designed and tailored specifically to the patient’s hand condition. Congenital problems that disfigure the normal appearance may be treated with a bone or skin grafting or z-plasty. Reconstructive or restorative techniques are focused on repairing the damages of nerves, tissues or tendons. In some cases, microsurgery is implemented whenever working with tendons and nerves. With this type of surgery, special equipment is used and a magnifier enables the surgeon to perform the operation. Regardless of the technique used, the primary focus remains, and that is restoring the patient’s normal hand function and improve its natural look.

During/After Surgery

Depending on the treatment and the complexity of the case, hand surgery could be an outpatient procedure or the patient may be required to stay the night in the hospital. Treatment will be performed at an accredited surgical facility. Recovery time varies. In many cases where hand trauma was involved, physical therapy may be needed. Postoperative therapy is especially important to those who need to work on normalizing hand function.

Expected Cost

The cost for hand surgery varies depending on the complexity of the case and which techniques are implemented. Sometimes combination procedures are also required. Many insurance companies will cover some costs of the surgery. Our office billing coordinator will work with the patient and their provider to confirm what benefits will be covered. Virtual consultations are $100 and in-person consults $300 the consult fee goes towards the procedure they are non-refundable.

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Average Cost  
$5,800 - $10,000
Recovery Time  
6-8 Weeks
Average Procedure Time  
1-2 Hours
Post-op Follow-up  
1 Week
Procedure Recovery Location  
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Hand Surgery FAQs

Do I Need Microsurgery?

For cases in which tendons and nerve repairs are necessary, microsurgery may be required in which surgeons use mini magnifying instruments. Not all hand surgery requires this, but it is common for tendon damage as well as crush injuries.

Plastic Surgeon or Orthopedic?

All hand surgeons, either a plastic surgeon or an orthopedic, fully understand the biomechanics of the hands. Some injuries in which joints and bones are mainly affected may be better treated by an orthopedic as these are their areas of specialties. However, a skilled plastic surgeon with experience and training in hand surgery will be able to restore both function and a natural, normal appearance.

Typical Surgeries Done?

Hand problems as a result of an injury are the most common reasons why a patient may visit a plastic surgeon. Injuries such as broken bones, crushed hands, severed fingers, major cuts and burns, top the list. Flap surgeries, transplants, and tissue grafts are typical resolutions to these problems.

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*Individual results are not guaranteed and may vary from person to person. Images may contain models.