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Hand of a person with Dupuytren's contracture,

Dupuytren’s disease causes the tissue in your palm to thicken and tighten, forming cords that in around 50% of patients gradually pull your fingers into a bent position. Over time, this can make it difficult for you to straighten your fingers fully, place your hand flat on a surface, grip objects, or comfortably perform everyday tasks.

 

The condition is benign but often progressive. When hand function is affected, treatment can release or remove the cords, improve movement, and prevent the issue from worsening.



Key facts about Dupuytren’s Disease surgery

Procedure time

20 mins- 3 hours, depending on technique and number of fingers to correct.

Anaesthetic

Local, regional or general (depending on the method)

Recovery

From 1 day (Percutaneous needle fasciotomy) to 8–12 weeks (fasciectomy or dermofasciectomy), depending on the technique

Results

Straighter fingers and improved function soon after treatment; final flexibility improves over several weeks

Benefits of Dupuytren’s Disease surgery

Straighter fingers and restored movement caret-down

Releasing or removing the cord allows your fingers to straighten and improves hand function.

Improved grip, strength and control caret-down

Everyday tasks (typing, bathing, holding tools, driving, or exercising) become easier and more comfortable.



Reduced tightness and discomfort caret-down

Treatment relieves the pulling sensation and pressure in your palm.



Options tailored to the pattern of disease caret-down

There are several options you can choose from depending on your exact needs and extent of the disease.



Short recovery with minimal downtime caret-down

Many patients return to light use of their hand quickly, especially after percutaneous needle fasciotomy.



Who Dupuytren’s Disease surgery may help

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Dupuytren’s surgery may benefit you if:

  • You can no longer place your hand flat on a table
  • One of your fingers is beginning to curl into your palm
  • The contracture affects your grip, writing, or daily activity
  • The disease has progressed after previous treatment
  • Tightness or nodules are becoming painful or restrictive

Dupuytren’s surgery may not be the right choice if:

  • The disease is in early stages without finger contracture (may benefit from a steroid injection)
  • There is active infection of the hand
  • You can’t follow splinting or hand therapy recommendations
  • You have medical conditions that require attention before surgery

 

Your Journey

We support you through surgery and beyon

1

Consultation caret-down

 

Your consultation includes a detailed assessment of your finger position, skin quality, grip and hand function. Your surgeon will review your medical history, family history, the pattern of disease, and how the contracture affects your daily activities.
You’ll receive clear guidance on the most suitable technique for you, and a written plan outlining what to expect.



2

Preparing for surgery caret-down

 

To prepare safely:

  • Maintain good general health and stable blood sugar if you have diabetes
  • Stop smoking and nicotine for at least 6 weeks before and after surgery
  • Stop aspirin, clopidogrel and NSAIDs (ibuprofen, naproxen, diclofenac) 7 days before (unless advised otherwise)
  • Stop Factor Xa inhibitors  (eg Riveroxiban, Apixaban, Edoxiban etc.), 48 hours before (unless advised otherwise)
  • Keep your hand clean and avoid creams on the day of surgery
  • Arrange for help with driving and heavier tasks for the first few days

Before your procedure you’ll be given a preoperative information pack with personalised instructions.



3

Day of surgery caret-down

Day of surgery

The technique used depends on the severity and pattern of Dupuytren’s disease:

Percutaneous Needle Fasciotomy (PNF) – Mr Izadi’s preferred technique

  • Local anaesthetic
  • A fine needle is used to divide the cord through the skin
  • The finger is gently straightened
  • No incision or stitches required
  • You go home the same day

Limited/Open Fasciectomy

  • Regional or general anaesthetic
  • For more advanced disease where finger joints are contracted
  • A small incision in the palm to remove the thickened fascia
  • Allows more extensive correction
  • Stitches placed and dressed before discharge
  • You go home the same day

Dermofasciectomy

  • Regional or general anaesthetic
  • Reserved for the most advanced or recurrent disease
  • Removal of both diseased fascia and involved skin
  • Reconstruction with a full-thickness skin graft
  • Provides the lowest recurrence rate but longest recovery.
  • You go home the same day

All techniques are day surgeries or require one overnight stay depending on the complexity of your case.



4

Recovery and aftercare caret-down

 

You can begin moving your fingers gently soon after surgery. Your dressings and stitches (depending on technique) are reviewed at 10 – 14 days.

Hand therapy is essential to maintain extension, improve your dexterity, and reduce any tightness. We might also recommend night splinting for up to 6 weeks.

Recovery time varies, depending on the technique used, from 1 week after PNF to 8-12 weeks following dermofasciectomy.



“I had an excellent experience with Dr. Izadi. From the first consultation, he was attentive and took the time to explain everything to me, which immediately made me feel comfortable and confident in my decision. Throughout the surgery and recovery, his reassurance and genuine care made me feel safe. He answered all my questions, and ensured I felt supported. I’m very grateful to him and highly recommend!”

“Dr Izadi was very approachable and easy to talk to. He is a skilled surgeon and makes you feel at ease. If you are considering a procedure and are nervous, he is very kind, explains everything and will happily answer questions. ”

“From the initial consultation through to the procedure and aftercare, Mr Izadi and his team were excellent. I am extremely grateful for his skill and would highly recommend him.”

“I cannot recommend David Izadi highly enough. From the very beginning, he has been an incredibly empathetic, caring and truly person-centred consultant. ”

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Mr David Izadi - Consultant Plastic Surgeon

Led by experience

At The Antler Clinic, your care is led by Mr David Izadi, a highly experienced Consultant Plastic, Reconstructive, Aesthetic and Hand Surgeon with over 20 years of specialist experience. Renowned for combining advanced surgical expertise with a calm, honest, and patient-centred approach, he is recognised as one of the leading hand surgeons in the Midlands and the UK.

Mr Izadi completed prestigious hand surgery fellowships at two of the world’s most renowned hand surgery centres – The Pulvertaft Hand Centre, Derby, and Institut de la Main, Paris – and holds the Diploma in Hand Surgery, the highest specialist qualification in this field. He is regularly invited to teach and lecture as faculty at national hand surgery meetings.

He is an internationally recognised expert in Dupuytren’s disease, having received the International Dupuytren Award for Best Global Research Paper in recognition of his contribution to advancing the understanding and treatment of this condition. Mr Izadi is among a small number of surgeons in Warwickshire and the Midlands who offer the full spectrum of modern Dupuytren’s treatments, including percutaneous needle fasciotomy (scarless Dupuytren’s surgery), limited fasciectomy, and advanced dermofasciectomy.

Whether you are seeking treatment for a hand condition, reconstructive surgery, or aesthetic concerns, you will benefit from Mr Izadi’s combination of academic expertise, precise surgical technique, and personalised care, with every treatment plan tailored to your individual needs and goals.

Meet David

Frequently asked questions about Dupuytren’s Disease surgery

A quick guide to the things most people want to know before and after their procedure.



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What is the latest treatment for Dupuytren’s contracture? caret-down

Percutaneous needle fasciotomy (PNF) is the most modern minimally invasive option for Dupuytren’s contracture. It divides the cord through the skin without an incision, meaning you get a quicker recovery. More advanced Dupuytren’s disease may require a fasciectomy or dermofasciectomy.



How long does recovery take? caret-down

Recovery from Dupuytren’s disease varies, and depends on which method is used in your procedure: around 1 – 2 days after PNF, 6-10 weeks after limited fasciectomy, and up to 8-12 weeks after dermofasciectomy. Hand therapy after your procedure will improve your flexibility and long-term function.



Is it worth having surgery for Dupuytren’s? caret-down

If the contracture affects your hand function or daily activity, then it is worth considering surgery. The Dupuytren’s procedure can straighten your fingers, improve your grip, and prevent further progression.



Does Dupuytren’s cause itchy or painful palms? caret-down

Some people who have Dupuytren’s disease experience itching, burning or tenderness as the cords form. These symptoms often improve after treatment.



What causes Dupuytren’s to get worse? caret-down

How bad Dupuytren’s gets may be influenced by genetics, diabetes, smoking, alcohol use, and age. The disease varies widely between individuals.



Can Dupuytren’s come back after surgery? caret-down

It’s possible for Dupuytren’s disease to recur after surgery. The rates for this are lowest after dermofasciectomy (around 10% at 5 years), moderate after limited fasciectomy (around 20% at 5 years), and higher after needle fasciotomy (around 80% at 5 years). Your surgeon will discuss the best option for long-term control.



How painful is Dupuytren’s surgery? caret-down

Local or regional anaesthetic prevents pain during your Dupuytren’s surgery. Afterward, mild soreness or stiffness is common but manageable with simple pain relief. It also helps if you move your hand soon after the procedure. 



What are the risks of Dupuytren’s surgery? caret-down

Risks include infection, nerve or vessel injury, altered sensation, stiffness, swelling, pain, scar tenderness, delayed healing, recurrence of contracture, complex regional pain syndrome, and incomplete finger straightening after surgery.



clear and transparent costs

Pricing and Finance

You will receive a clear quotation setting out the cost of your treatment and what is included before you decide whether to proceed.

Consultation Fees caret-down

A new consultation is charged at £200.

Follow-up consultations are charged at £150, unless the appointment forms part of an agreed surgical package or postoperative follow-up pathway.

Consultation fees are payable regardless of whether surgery is subsequently arranged. A consultation provides assessment, advice and discussion of treatment options; it does not guarantee that surgery will be recommended or offered.

Non-Attendance and Late Cancellation caret-down

Patients are kindly asked to provide at least three working days’ notice if they need to cancel or rearrange an appointment.

Non-attendance, or cancellation with less than three working days’ notice, will incur a fee of £125. This fee reflects the clinical time reserved for the appointment and the difficulty of offering the appointment to another patient at short notice.

Self-Pay Surgery Packages caret-down

For self-pay patients, surgery is usually provided as a fixed-price package. This is intended to give patients clarity and reassurance about the cost of their planned procedure.

Your written quotation will confirm what is included. In most cases, the package price includes:

  • Hospital fees for the planned procedure

  • Surgeon’s fee

  • Anaesthetist’s fee, where applicable

  • Standard postoperative follow-up appointments relating to the procedure

  • Routine aftercare directly related to the planned surgery, as specified in your quotation

Package prices are based on the procedure agreed at the time of booking. If the surgical plan changes, if additional procedures are requested, or if further treatment is required outside the agreed package, additional fees may apply.

Complication Cover caret-down

Self-pay surgical packages usually include a period of cover for the treatment of complications directly related to the procedure. The exact terms, duration and exclusions of this cover are set by the hospital where your surgery is performed.

Depending on the hospital, complication cover may apply for a defined period, which may be 6 or 12 months. Full details will be provided by the relevant hospital before surgery.

Complication cover is not a guarantee that all future treatment, revision surgery or additional procedures will be provided without charge. Cover may not apply to unrelated medical problems, pre-existing conditions, treatment required outside the hospital’s terms, or surgery requested for aesthetic preference rather than a recognised complication.

In an emergency, patients should seek urgent medical attention through the most appropriate service, including NHS emergency care where necessary.

Revision Surgery and Further Procedures caret-down

Every effort is made to achieve the best possible outcome, but no surgical procedure can guarantee a specific result, perfect symmetry, invisible scarring or complete satisfaction. Healing, scarring, swelling and final results vary between individuals.

If revision surgery is required because of a complication, eligibility for cover will depend on the hospital’s package terms and the clinical circumstances.

If surgery has been performed to an appropriate clinical standard, but a patient remains dissatisfied with the aesthetic outcome or wishes to pursue further refinement, any revision or additional surgery will usually incur further charges. These may include hospital fees, surgeon’s fees and anaesthetic fees.

Additional Costs and Exclusions caret-down

Unless specifically included in your written quotation, additional costs may apply for investigations, scans, specialist opinions, extra procedures, further hospital admissions, prescriptions, dressings, garments, travel, accommodation, time off work or treatment unrelated to the planned surgery.

The written quotation and the hospital’s own terms and conditions will take precedence over any general information provided on this website.

Payment Terms caret-down

Payment terms, deposits, cancellation policies and refund arrangements are determined by the hospital where your procedure is booked. These will be provided to you before surgery.

Surgery can only proceed once all required payments have been received and all relevant consent, preoperative assessment and hospital requirements have been completed.

Finance caret-down

To help make treatment more affordable, you may choose to spread the cost of your procedure through a personal medical loan with Chrysalis Finance. Subject to eligibility and approval, Chrysalis offers a range of flexible finance options, allowing you to pay for your treatment in manageable monthly instalments rather than a single upfront payment.

The hospitals we work with offer finance options through Chrysalis Finance. Please contact your chosen hospital directly for further information or to discuss any questions.

 

Private Medical Insurance caret-down

Mr Izadi is registered with the private medical insurers shown below. Coverage for consultations and treatment is subject to the terms of your policy and insurers approval.

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Mr David Izadi - Consultant Plastic Surgeon

Get in Touch

Your next step starts with a conversation.

A consultation at The Antler Clinic is simply a chance to talk – to ask questions, explore your options, and decide what feels right for you.

You’ll leave with clarity, reassurance, and the same calm support that defines everything we do.

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