Procedures

Dupuytren’s Disease/Contracture

Dupuytren’s Disease/Contracture

Dupuytren’s contracture is one of the debilitating effects of Dupuytren’s disease, which is a very common condition in Australians with Anglo-Saxon background and affects men more than women. This condition is characterised by an involuntary, painless bending of a finger that affects your ability to perform many daily tasks. The problem is caused by a thickening of the tissue just underneath the surface of the skin, as well as the formation of thick knots that begin to pull the finger inward. Once this occurs, you are unable to straighten your finger, which complicates the crippling nature of the condition.

Surgery is recommended for patients with Dupuytren’s contracture when the disease progresses to this point. The surgical procedure removes the affected tissue to release the fingers and allow them to straighten once again. Surgery for this condition can be complex and extensive in some cases, depending on how far the disease has advanced. Dr Teston is experienced in working with this condition, and possesses the necessary techniques and tools to provide patients the cosmetic and functional relief they need.

Before Dupuytren’s Contracture Surgery

Before resorting to surgery to correct Dupuytren’s contracture, your doctor may recommend the following treatments:

  • Needling – Also known as needle aponeurotomy, this procedure uses a hypodermic needle to break up the thickened tissue. While the process does not involve incisions and is often more comfortable than surgery, it is not always as effective at completely treating the condition.
  • Enzyme Injections – Injections of a specialized enzyme into the thickened tissue can soften it enough to allow your doctor to break it up by manipulating your hand. Like needling, this procedure is not always as successful as surgery.

When relief is not achieved or your condition continues to progress after these treatments, surgery may be the next logical course of action. Dr Teston will discuss your specific situation to help you decide if surgery might provide you with the best possible results.

During Your Surgery

Dr Teston performs this surgery in an accredited hospital, usually under general anaesthesia. An incision is made along the band in the finger. Dr Teston uses the incision to divide and remove the thickened connective tissue, allowing the finger to straighten, the scar will be made as a zigzag to prevent the scar tightening.

Repair of Dupuytren’s contracture may take up to 90 minutes to complete, and you will spend a few hours in recovery afterward so you can be carefully monitored as you come out of the anaesthesia and begin the recovery process. This surgery is usually done as a day surgery, which means you will be able to return home after your time spent in recovery.

After Dupuytren’s Contracture Surgery

When you go home, your hand will be bandaged and splinted to allow the treatment area to heal properly. You will have a prescription for oral pain medication and instructions to keep your hand above heart level to reduce swelling and encourage a faster healing process. Once your hand has healed, you will undergo physiotherapy to regain full strength and function.

Dupuytren’s contracture is not usually a painful condition, but it is extremely disfiguring and debilitating. For some patients, surgery is the only way to stop the disease in its tracks and restore the full form and function of the hand. To find out more about Dupuytren’s contracture or your surgical treatment options, contact Dr Leana Teston on (02) 9708 3511.

Procedures Offered


With more than two decades of experience in plastic surgery, Dr Teston is qualified to provide a broad range of plastic surgery procedures. Some of the choices available to her patients include:

Breast Enhancement

No matter what cosmetic goals you might have for your breasts, Dr Teston can help you achieve them. One of her specialties is correcting asymmetries between the breasts that cause a woman to feel self-conscious about her body. Other breast procedures offered by Dr Teston include:

Facial Improvements

Whether you are concerned about the effects of ageing or looking to correct an imperfection that has been nagging you throughout your adult life, Dr Teston offers procedures to enhance and refresh your appearance. She can customise any of the following to your specifications and facial proportions:

  • Facelift to smooth the skin and reduce the appearance of wrinkles
  • Eyelid surgery to correct drooping and rejuvenate the area around the eyes
  • Rhinoplasty or nose reshaping to create symmetry, remove imperfections, or restore the nose after injury
  • Otoplasty (or ear surgery) to correct ears that stick out or are disproportionately large
Body Contouring

Body contouring is an effective way to put the final touches on your body shape when you can’t get there with diet and exercise alone. Body contouring is usually recommended for patients that have achieved a healthy, stable weight and may include the following:

  • Abdominoplasty (or tummy tuck) to tighten and flatten the midsection
  • Lift procedures to shape and firm the upper arms and thighs
  • Liposuction to remove isolated, stubborn areas of fat from nearly anywhere on the body
  • Labiaplasty to correct discomfort due to either developmental or hormonal enlargements or scarring
Skin Treatments

As the largest organ of the body, the skin deserves special attention. When you want to get rid of unsightly moles, fatty lumps, or other concerns, Dr Teston is prepared to eliminate the blemish and leave the best cosmetic results behind. Some of the concerns Dr Teston can treat include:

Hand Restoration

Your hands are one of the most functional and visible parts of the body, and when they are injured or affected by a debilitating condition, the effects on your life can be dramatic. Dr Teston offers hand surgery to treat many of these concerns, with the following being some of the hand conditions she treats:

When you are in search of a plastic surgeon in Sydney, Dr Teston offers a valuable female perspective, extensive training and experience, and a commitment to the highest level of patient care. To learn more about our practice, contact our office today at (02) 9708 3511.