Permanent correction for Brachymetatarsia (short toe syndrome) without silicone implants. Created & perfected by world authority Dr. Alireza Khosroabadi, DPM to restore foot balance, confidence, and natural beauty with minimal scarring.
Get an expert assessment from Dr. Khosroabadi's surgical team. In-clinic or video calls for global patients.
Real stories from real patients who chose the Khosroabadi Institute for their minimally invasive foot & ankle surgery.
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Brachymetatarsia (short toe syndrome) occurs when metatarsal bones stop growing prematurely (usually around age 7 or 8). Because the short toe cannot bear weight, adjacent toes pick up excess load—causing discomfort, painful calluses, shoe restriction, and deep emotional distress.
Unlike cosmetic silicone implants that degrade or create foreign body reactions, GENIUS® stimulates permanent natural bone regeneration for lifelong foot strength.
Performed through micro-incisions with minimal soft-tissue disruption. Most patients experience minimal to virtually invisible scarring one year post-surgery.
Dr. K completed specialized limb lengthening training at the Rubin Institute and has performed hundreds of complex brachymetatarsia procedures on patients from 50+ countries.
In your pre-surgical consultation, Dr. K examines your foot biomechanics, digital X-rays, and bone density. During the 1 to 3 hour procedure, Dr. K surgically places a precision micro-device on the affected metatarsal.
Patients gently turn the calibrated adjustment mechanism (typically ~0.5mm daily) to slowly, steadily, and comfortably encourage natural new bone growth—restoring the exact natural toe line without heavy casts.

Here is what you can expect during each milestone of Dr. K's advanced toe lengthening protocol.
Takes 1 to 3 hours in our boutique accredited surgery suite. Protected dressing and specialized post-op protocol.
Dr. K examines the toe and provides exact daily lengthening instructions (typically 0.5mm per day).
In-office or remote digital X-ray review for out-of-town patients. Turn rate calibrated to your bone healing.
Removal of the micro-device once new bone has ossified. Return to sports, open shoes, and high heels.
Living outside of California? You can have your local podiatrist or imaging center take digital X-rays every two weeks and transmit them directly to Dr. Khosroabadi for charting.
Comparing Dr. Khosroabadi's trademarked procedure with traditional orthopedic frames and temporary silicone implants.
| Feature | GENIUS® (Dr. K) | Traditional Heavy Frame | Cosmetic Silicone Implant |
|---|---|---|---|
| Surgical Invasiveness & Scars | Minimally invasive micro-incisions; minimal visible scar after 1 year. | Bulky metal pins puncturing skin with significant scarring. | Open joint incision; risk of implant extrusion or rejection. |
| Permanence & Bone Strength | 100% natural bone regeneration. Lifelong structural support. | Creates bone, but cumbersome external hardware increases infection risk. | Temporary aesthetic effect; implants fail or shift over time. |
| Weight-Bearing & Mobility | Specialized surgical shoe mobility without bulky cage or plaster cast. | Severe lifestyle restriction for 4–6 months to protect the frame. | Limited toe function without weight-bearing strength. |
| Multiple Toes Capability | Dr. K routinely corrects up to 3 short toes on the same foot or bilateral feet. | Rarely offered due to extreme hardware collision and complexity. | Not clinically indicated for multi-toe structural deformity. |
Real short toe (brachymetatarsia) patient outcomes, unedited before & after cases, and national television appearances featuring Dr. Khosroabadi.


"Other doctors told me I'd need to live with it or wear an enormous metal cage with pins for six months. Dr. K lengthened my toe with his GENIUS® technique and restored my full confidence!"


"Living with brachymetatarsia made me hide my feet my entire life. Dr. Khosroabadi corrected my shortened metatarsal—I finally wear sandals and walk on the beach without feeling insecure."


"My shortened toe caused severe pain when running and made finding running shoes impossible. Dr. K completely balanced my foot load. The results are life-changing."


"Dr. K is an artist and true surgeon. The minimal scarring after one year is incredible—you can barely see anything at all."


"Flown from London to Los Angeles for Dr. K's GENIUS® surgery. The surgical center was immaculate and Dr. K's concierge took care of every single step."


"Having a short toe made me so embarrassed at pools and the gym. Today I have normal feet and zero pain. Words cannot describe how grateful I am to Dr. Khosroabadi."
Join thousands of patients who eliminated foot pain and restored their confidence with Dr. Khosroabadi.

Dr. Alireza Khosroabadi is a globally renowned foot and ankle surgeon, educator, and innovator. Following his extensive surgical residency, Dr. K completed a prestigious fellowship in complex limb deformity and lengthening at the world-famous Rubin Institute for Advanced Orthopedics.
Disturbed by the extreme pain, long bedrests, and severe scarring associated with traditional open foot surgeries, Dr. K dedicated his practice to pioneering advanced minimally invasive alternatives. Today, patients from sports stars to celebrities and destination patients fly in to experience his trademarked techniques.
A portion of every procedure performed at the Khosroabadi Institute supports Dr. Khosroabadi's annual surgical humanitarian mission with Healing the Children. For over 10 years, Dr. K and his medical team travel to Nepal to perform life-changing deformity corrections for children in need.

Got questions about recovery times, telehealth, or surgical candidacy? Find answers here.