About Hand Surgery
People use their hands for almost everything in their day-to-day lives. This makes it all the more frustrating and worrisome when we experience difficulties with the look and function of our hands. Board-certified plastic and reconstructive surgeon Dr. Andre Y. Levesque understands how important they are for completing simple, everyday activities. For this reason, he offers helpful treatments and surgeries at his Austin, TX practice to patients who want to enhance the appearance and performance of their hands. If you are experiencing an issue but are unsure of the underlying condition or cause, Dr. Levesque will work with you to assess a diagnosis and recommend treatment based on your needs. Schedule a one-on-one consultation at Levesque Plastic Surgery to have your most important extremities professionally evaluated and receive the proper care to restore them.
Hand Surgeries and Services
Dr. Levesque diagnoses and treats numerous hand-related conditions at his practice, such as carpal tunnel and cubital tunnel syndrome. In addition to this, he offers services for hand rejuvenation, including the use of fat transfer and fillers to enhance the appearance of the hands. Below are the conditions, surgeries, and services he provides for patients at Levesque Plastic Surgery:
Because your hands are exposed almost as frequently as your face, they can incur similar issues that develop over time. This can include pigmentation, wrinkles, and volume loss. To improve the appearance of your hands, Dr. Levesque performs hand rejuvenation procedures for patients at his Austin, TX practice. Depending on your needs or preferences, he can employ the use of dermal fillers (such as Radiesse) or fat transfers to plump their appearance and restore lost volume. Additionally, there are an array of noninvasive treatments that can be used to reduce dark spots and age spots.
Carpal Tunnel Release
Carpal tunnel syndrome is characterized by pain, numb, or tingling sensations that occur in the hand and/or arm. This debilitating condition is often caused when the median nerve (located in the wrist) becomes pinched or compressed. This compression of the median nerve causes pain and can make it very difficult to perform tasks that involve gripping or holding objects. Carpal tunnel release is an endoscopic surgery that aims to correct the symptoms of carpal tunnel syndrome by making a 5cm incision into the wrist, where the median nerve is located, and releasing the nerve.
Cubital Tunnel Release
Cubital tunnel release is a surgery aimed to improve upon cubital tunnel syndrome, which is a disorder caused by the stretching of the ulnar nerve (located near the funny bone). When this nerve is stretched, it can cause tingling and numbness in the ring and pinky fingers. It can also, like carpal tunnel syndrome, result in poor grip and pain centralized in the arm. Cubital tunnel release surgery involves an incision made near the elbow. After the incision is made, the ulnar nerve is released.
Trigger Finger Release
A condition that can affect any finger, trigger finger is characterized by stiffness, pain, or a locking sensation that occurs when you bend or stretch your appendages. Although it can develop in any of the fingers, it is most commonly occurring in the ring finger and thumb (which is called trigger thumb). Trigger finger release, or tenolysis, is a procedure aimed to reduce the effects of trigger finger or trigger thumb by making a small incision into the affected appendage. From there, Dr. Levesque will release the A1 pulley that is preventing movement.
Guyon’s Canal Release
Guyon's canal release surgery is necessary when the ulnar nerve becomes compressed in the wrist through the Guyon's canal. This procedure is performed with an incision that begins on the wrist and stretches into the palm. The ulnar nerve is the same nerve at play when cubital tunnel syndrome takes affect. However, in this case, the necessary incision is placed on the wrist rather than in the elbow.
De Quervain’s Release
De Quervain's syndrome can be identified by wrist pain that occurs when holding a pencil or an alike object, most often in the dominant hand. Women tend to experience this condition more frequently than men. To minimize the effects of De Quervain's syndrome, Dr. Levesque will make an incision on the side of your wrist near the base of the thumb. From there, he can perform De Quervain's release surgery by opening the tissue over the swollen part of the tendon. This procedure will allow the tendon to move freely rather than be constricted and cause discomfort.
Dupuytren's contracture is a condition that leads to the thickening of skin tissue, which then causes the affected fingers to bend inward toward the palm. This can make straightening one's fingers very difficult and inhibit natural movements. Although this most commonly effects the ring and pinky fingers, it can occur in other fingers as well. This abnormality is seen more commonly among the elderly, as well as with males. Currently, there is no cure for Dupuytren's contracture. However, Dr. Levesque can increase your comfort and lessen your symptoms by performing either a fasciotomy or a subtotal palmar fasciectomy procedure.
"I went to Dr. Levesque for some liposuction on the hard to lose areas of my thighs and flanks. He made sure my expectations were realistic and exactly what he could and couldn't do. He was very detailed in describing the procedure and very patient with questions. It is very obvious he truly cares about his patients and won't just do any procedure a patient wants, but will do what he can to ensure the patient will be happy with the results. For example, I wanted lipo on my rear end. Alot of it. He told me that if he did too much, I would get saggy and explained clearly why what I wanted wasn't a good idea. Other plastic surgeons might have just done it anyway. I felt extremely comfortable with him and trusted him completely. I'm very glad I did! I am extremely happy with my results and would never hesitate to do another procedure with him."- J.H. / Google / May 10, 2019
"Helen is simply the best and a total doll! I have been seeing her for over 12 years now for dysport injections and not only is it painless, I come out flawless every time!"- A.R. / Google / Jul 01, 2020
"Far Exceeded Expectations - The scars are healing fine and natural looking - After meeting with several top rated plastic surgeons in Austin, I found Dr. Levesque. He was the only one willing to do a Deep plane facelift under local anesthesia, right in his office. This, along with his entire practice/staff, level of professionalism and explanation, etc., gave me complete confidence in having him do the procedure. I was still nervous going into procedure day, but truly, I am still amazed that I literally walked out of there looking like nothing had happened (well, other than the stitches under the bandages, ha!) and feeling fine. I walked the dog when I got home, and was able to shower and wash my hair the next day. I will try to post some photos that show the minimal amount of bruising. The truth is, I could have gone most anywhere and with only swelling, only someone who knew me would have wondered if I'd had a procedure done, and this from day 1!!! I guess that using local involves being given something that minimizes blood circulation in the area during the procedure, so there was just almost no bruising. It has been 2.5 months since the surgery. The scars are healing fine. I still have a bit of tightness in my right neck and some numbness on sides of my face and around ears, but that's about it. The really cool thing is that it is just so natural looking."- N. / RealSelf / Mar 14, 2023
"Lipo Arms, Upper back, bra rolls, upper chest,abdomen,inner thighs - I've had some lipo done before which had a positive impact on my actual body shape( lower ab/ flanks). I lose and gain weight often due to depression so i've been working on it. This time, when I gained weight it looks went to my upper body is a serious way. Also i've gained visceral fat in my upper abdomen that can only be reduced by diet and exercise, so that's my current task . In the meantime , i've grown tired or this heavier weight up top so i've been researching doctors for a few months around Texas. I also had consults with surgeons in Atlanta and Miami . I was attracted to those flashier doctors at first because they do really aggressive lipo and I feel like I need aggressive especially since i've had some lipo before. That means there will be scar tissue in some areas that will be tougher to maneuver. I'm not interested in a BBL or fat transfer. I'm never going to be a skinny person nor am I gym rat often enough to build and maintain a 6 pack and perfect toned arms and legs. I'm not saying it's impossible but it is improbable. I'm realistic about my expectations with lipo so I know that once this procedure is done , i still have work to do in order to get the upper abs to flatten. In any case , I decided against the Miami doctors because I saw a lot of stories online about women dying on the operating table from various missteps of the surgeons. Of course I know not all Miami doctors are bad but I saw enough. The Miami price are very cheap and tempting. I saw a lot of reviews about women saying they felt like they were in an assembly line and the doctors just rush and bring people in and out. I wanted to save money but not for that much additional risk . Elective surgery is a risk all together-but why add on more risk unnecessarily. So I started to look at smaller boutique surgery centers and found several in my own city which is Austin Texas. From start to finish I had 8 consults. I decided on Dr. Levesque here in Austin and he has a fairly small operation with privileges at a local surgery center. He offers liposuction under general or local- depending on how much work you want and if you want to be fully under . I felt a great vibe from the staff and the prices were fair and I was able to choose general because I didn't want local based on a prior scary experience with a bad doctor. I know i'm the type who needs to just be put under. Of course there are extra costs to go to the surgery center and for an anesthesiologist. Small price to pay for my sanity and surgeons can be more aggressive while you're under and the results tend to be better . The downside( in my opinion) is that the recovery is harder when you go under general because the doctor can just go to town on you pretty forcefully so you're sore. My surgery is tomorrow- May 15th. I'm nervous but I've been in this process before so i'm fully prepared , lol or I think I am. I'm getting lipo to my back, arms, bra roll, inner thighs and some touch up on the abs."- T. / RealSelf / May 15, 2020
"What a joy to work with Helen Klingensmith! Helen has been my preferred provider for Dysport for many years and I’m so pleased to be connected with her through Levesque Plastic Surgery. Her bedside manner is unprecedented...she is very thorough and always explains what to expect and is very compassionate. Her technique is unrivaled — I have NEVER even had so much as a pinpoint bruise. I highly respect Helen and recommend her without hesitation."- G.R. / Google / Jul 12, 2019
Patients who experience pain in their hands, wrists, or arms that gets in the way of completing their daily activities could benefit from scheduling a private consultation at our Austin, TX office. During your one-on-one appointment, Dr. Levesque will assess the condition of your hands, determine where the discomfort is coming from, and figure out the best course of action. If rejuvenation is your goal, Dr. Levesque will formulate a unique treatment plan to enhance the appearance of your hands. Whether you are plagued by volume loss or carpal tunnel syndrome, our skilled team will work with you to determine how to best restore the look and function of your most important extremities.
The procedure technique used for your treatment will vary based on your condition, concerns, and goals. To achieve restored hand function and rejuvenation, Dr. Levesque performs both surgical and nonsurgical procedures. For most of these procedures, such as carpal tunnel release, Dr. Levesque is able to use local anesthesia rather than having the procedure performed outpatient. The process for this technique involves a single shot in the wrist that is very similar to a blood draw. After the needle is inserted, the local anesthetic is added slowly to totally numb the area.
While some hand surgeries are performed inpatient with a local anesthetic, hand rejuvenation with an autologous fat transfer is performed at an accredited surgical facility or hospital. For this procedure, you will be put under a general anesthetic.
What to Expect
Because everyone is unique, it's difficult to give an accurate estimation of healing and recovery time for potential hand surgery patients. We will tell you how to care for your incisions post-op to prevent infection and promote the growth of healthy skin tissue. The speed of your recovery will depend on how well you respond to the treatment, as well as your individual tolerance for pain. You will be expected to attend mandatory follow-up appointments at Levesque Plastic Surgery so Dr. Levesque can monitor your recovery, pain management, and progress with hand movement.
Frequently Asked Questions
How much will my hand surgery/rejuvenation cost?
The cost of your hand surgery or hand rejuvenation will depend on the specific treatment you are having done, as well as potential anesthesia and facility fees. Dr. Levesque will work with you to make sure you receive the proper treatment at a cost that is suitable.
How can you perform some of these procedures under local anesthesia?
The secret to performing hand surgeries under local anesthesia rather than general is utilizing proper, advanced techniques. Dr. Levesque will inject the local anesthetic slowly and allow the full effect of the epinephrine to constrict blood vessels. Dr. Levesque will not need to use a tourniquet, and there is no time lost to getting an IV placed, being put to under, or waking up from sleep.
Will my hand surgery be covered by insurance?
Your hand surgery could potentially be covered by your medical insurance. Dr. Levesque accepts many insurance plans, and a simple call to the office can verify your insurance benefits. For those that do not have insurance or have high deductible plan, we accept many forms of payment as well as medical financing.
How long should I plan to be off of work?
Everyone's experience with healing and post-operative pain is unique to them. The typical patient can be back at work within 2 weeks following surgery. This, however, can vary widely based on the amount of physical exertion needed for you job. No antibiotics are required post-surgery. If needed, Dr. Levesque can prescribe any necessary pain medications to improve the quality of your downtime.
GET LASTING RESULTS
Honing years of experience in addressing a variety of hand-related issues, board-certified plastic and reconstructive surgeon Dr. Levesque will use advanced techniques to enhance the appearance and functionality of your hands. Contact our Austin, TX office to schedule a consultation if hand pain or volume loss has gotten in the way of your life. Levesque Plastic Surgery will work with you to meet your needs and goals.