Aesthetic Toe Shortening
“Hidden side incision and a short, simple recovery… this is the only procedure of its kind.”
Check out all the buzz!
The Doctors Show
The Perfect 10!
Dr. Sadrieh interviewing with Drs. Stork and Orden on The Doctors Show about the aesthetic toe shortening and the unique hammertoe correction technique at evo.
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.
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.
The evolution of hammertoe surgery
Traditional hammertoe procedures like arthroplasty, and arthrodesis with K-Wires fail to meet the needs of the 21st century lifestyle.. In 2001, Dr. Sadrieh reinvented hammertoe surgery. Today you can choose the length of the toe
1965 - Arthroplasty
This procedure removes a portion of bone at the joint, and leaves it to heal with natural scar tissue fill the space. This technique rarely works and poor results are disastrous.
1972 - Arthroplasty with K-Wire
The addition of a K-Wire to stabilize the arthroplasty procedure provides more stability during the healing. Once the wire is removed, the toe can shrink, or deviate.
1980 - Arthrodesis with K-Wire
The fusion of two bones (Arthrodesis) provided even more stability and reliability, but K-Wires still require 4 weeks of keeping the foot dry and bandaged.
2001 - Dr. Sadrieh creates the world’s first, Side Incision, Arthrodesis with Internal Fixation
Designed with attention to function, and beauty… the Aesthetic Toe Shortening™ Toe Enhancement Surgery introduced a new era in foot surgery. An entirely new side incision approach, closed with plastic surgical technique, and internal fixation. No pins sticking out of your toe with significantly reduced risk for infection… and continuous maintenance of fusion site with internal fixation.
2011 - The next generation of our procedure updated the fixation with a new one-piece implant
After thousands of successful results, the next generation of our procedure was updated with the most advanced one-piece implants, made from Titanium with much more stability than first generation two piece versions.
2022 - The worlds most advanced hammertoe surgery… now without metal implants
Moving to a one piece implant was a major evolutionary step in the history of hammertoe and toe shortening surgery… but the new PEEK implants designed by Fusion Orthopedics have increased the stability of the procedure 75%. Using a material like PEEK also allows for more flexibility in the future should adjustments need to be made.
There’s only one original… and it’s beautiful.
The signature side incision hammertoe surgery… developed by Dr. Ali Sadrieh.
Traditional or “legacy” toe procedures require only a few procedural steps, but we saw an opportunity for improvement. The Aesthetic Toe Shortening™ Toe Enhancement Surgery, our proprietary hammertoe technique was created with a completely new take on dissection, fixation, and closure.
To meet our aesthetic standards, we developed a different approach, placing the incision on the side of the toe, not the top. With this new approach there is no need to cut the extensor tendon which reduces the overall recovery time. And because our technique allows us to adjust length, the eternal question of open or closed toe shoes… is no more!
traditional incision: on top of the toe
evofoot incision: hidden on side of the toe
“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.
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.
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%. 
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.Internal fixation = Stability + Reliability
Translation: Simpler recovery. More reliable results.
Our first mission: “Get rid of the pin.” Having a pin sticking out of the toe for 6 weeks carries a lot of risk, so internal fixation was the only option for us. Removing the K-Wire from the equation reduces the recovery time, but more importantly it reduces the risk of infection (2).
Traditional fixation technique
K-Wires are used to hold either Arthroplasty or Arthrodesis procedures in place for 6-8 weeks. During this time the patient is required to keep the foot dry and dressed with bandages. Wires can break, bend or act as a portal for infection.
Current fixation technique
Current fixation techniques have incorporated internal fixation, however with screws that cross both the joints of the toe. This creates stiffness and an "un-natural" look and feel.
Evo fixation technique
We utilize internal fixation systems that only require the fusion of one joint. This allows for a more natural appearance, and feeling. Internal fixation also reduces the recovery time compared to traditional wires.
Although our procedure was developed in 2001, it continues to evolve. Using the most advanced technologies available, the current 6th generation evo hammertoe and toe shortening procedures provide superior stability and recovery times using inter-medullary fixation systems by Fusion Orthopedics.
This form of fixation is superior to traditional, external types of fixation since they do not protrude from the toe during the recovery period. This new generation of precision implants are made from surgical PEEK and have one more added benefit: long after legacy procedures loose their pins, evo hammertoe correction gets ongoing fixation until the fusion is complete.
Get into shoes faster, get back to life sooner.
Modern procedures + Advanced fixation systems = Shorter, more comfortable experience
Time before getting foot wet
The average time for skin to heal is 2-3 weeks. Once the incisions are healed you can get your foot wet.Time before getting back to work
Once the skin is healed, you wear athletic shoes for 2 more weeks. During this time you can get back to work (5).Time before resuming normal activity
After the 4th or 5th week, when x-rays show quality bone healing, you can begin transitioning to normal activity (4).Average pain during recovery
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
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.
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.
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
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.
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.
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) The term “legacy” used in reference to procedures that use traditional K-Wire fixation and incisions on top of the toe.
(2) K-Wires protrude from the tip of the toe and are usually kept in for 4-8 weeks depending on healing; during this time the portal of entry is at risk for infection.
(3) Some skin types are more prone to scarring than others; discuss your previous surgical history or scars with your surgeon before proceeding with surgery.
(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.
(5) This time estimate is based on an average patient healing rate, and the kind of work you do. Your occupation may require more time for the healing to complete. Please discuss this with your surgeon before proceeding.
(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.