Syndactyly / Polydactyly Surgery
Syndactyly and polydactyly surgery restores independent finger/toe function and natural appearance with precise separation or digit reconstruction. At AIMS Aesthetic & Medical Centre, Dr. Zameer Abbas Mir (FCPS, Plastic Surgery) provides tailored pediatric hand and foot surgery in Lahore—using web‑space creation, skin grafts or flaps, and refined bone/soft‑tissue reconstruction—to support normal growth, grip, and gait.
Our goal is simple: achieve safe separation or corrective removal with stable, pain‑free function and natural contour—at the right age and stage for development.
What Is Syndactyly / Polydactyly Surgery?
Syndactyly is fusion of two or more digits (skin‑only or complex with bone/tendons), limiting independent motion and growth.
Polydactyly is an extra digit (preaxial near thumb/big toe, postaxial near little finger/toe, or central), which can interfere with function, shoes, or appearance.
Surgery aims to separate fused digits with proper web‑space depth (syndactyly) or remove/reshape an extra digit with joint/ligament/tendon balancing (polydactyly) for durable function and symmetry.
Procedures We Offer
Syndactyly Release
Web‑space Design and Z‑Plasty: Creates a deep, natural commissure and prevents scar contracture.
Skin Grafting (as needed): From groin/wrist to cover raw areas after separation when local skin is insufficient.
Complex Release: Addresses shared bone/tendons/nerves with meticulous dissection; staged surgery if multiple webs are fused.
Polydactyly Correction
Excision and Reconstruction: Removes the duplicate while preserving the best‑aligned digit; transfers necessary ligaments/tendons/nail elements for stability and appearance.
Preaxial (Thumb) Reconstruction: May combine parts to create one strong, stable thumb with proper width and nail.
Postaxial (Little Finger/Toe) Correction: Precise excision and soft‑tissue contouring; bony work if required.
Timing & Candidacy
Typical Timing: Many cases are planned around 6–18 months, individualized by complexity, growth, and which webs are involved. Earlier separation is considered for border webs (thumb‑index or ring‑little) to avoid growth deformities.
Staging: When multiple digits are involved, surgeries may be staged for safety, blood flow, and optimal healing.
The Surgical Journey
Our process ensures comfort, safety, and precision at every step:
1. Consultation: Assessment of digit anatomy (skin, bone, tendons, neurovascular), X-rays when indicated, and growth-aware planning with parents.
2. Preparation: Age-appropriate anesthesia planning, splint/cast strategy, and graft site selection if needed.
3. Reconstruction: Separation or excision with careful preservation of vessels and nerves; ligament/tendon balancing; web-space creation and grafting where indicated.
4. Recovery: Dressing/cast protection with scheduled checks to monitor perfusion, graft take, and early motion guidance.
Most children show visible improvement as swelling settles over 2–3 weeks; fine motion, strength, and scar maturation continue for months with guided therapy.
Recovery & Aftercare
Cast/Splint: Typically 2–4 weeks depending on complexity; keep clean and dry.
Wound & Graft Care: Elevation, dressing review, and protection from pressure or rubbing.
Therapy: Parent‑guided home exercises or formal therapy to encourage independent motion and prevent stiffness.
Scar Care: Silicone, massage, and sun protection once wounds heal.
Results You Can Expect
Independent finger motion and improved grasp/pinch (hands)
Better shoe fit and gait comfort (feet)
Natural‑looking web spaces and nail/contour symmetry
Every procedure at AIMS Aesthetic & Medical Centre is performed with precision to support normal growth, function, and aesthetics.
Why Choose AIMS Aesthetic & Medical Centre for Syndactyly / Polydactyly Surgery in Lahore?
Led by Dr. Zameer Abbas Mir, board‑certified Plastic & Reconstructive Surgeon with pediatric hand experience
Growth‑aware timing and staging for safety and long‑term outcomes
Meticulous neurovascular preservation and ligament/tendon balancing
Child‑friendly environment, clear parent education, and attentive follow‑up
Transparent counseling and individualized care plans
Cost of Syndactyly / Polydactyly Surgery in Lahore
Costs depend on the number of digits, complexity (simple vs complex), need for grafts, imaging, and staging. A personalized estimate is provided after consultation with Dr. Zameer Abbas Mir.
Frequently Asked Questions (FAQs)
Yes—after a one‑to‑one consultation, a personalized plan is created based on your goals, medical history, and examination. If a treatment is not suitable, safer alternatives and clear next steps are provided.


