Microsurgery is a highly specialized field within plastic and reconstructive surgery. Dr. Lindsay E. Janes is a fellowship-trained plastic surgeon in Chicago, IL, with extensive expertise in microsurgical techniques, particularly for limb salvage and brachial plexus reconstruction.
By combining technical skill with a patient-first approach, Dr. Janes helps restore function and preserve mobility in complex cases where other treatment options may fall short.
Understanding Microsurgery
Microsurgery involves the use of high-powered operating microscopes and fine instruments to perform complex procedures that require the accurate handling of tiny anatomical structures.

This includes nerves that measure less than a few millimeters in diameter, as well as delicate blood vessels essential for tissue survival.
Microsurgical techniques enable highly trained surgeons, such as Dr. Janes, to work with extreme precision on the smallest structures of the body, including the delicate nerves, blood vessels, and soft tissue of the hand and arm.
The most common applications of microsurgery in Dr. Janes’ practice include:
- Limb salvage after trauma or tumor removal
- Brachial plexus reconstruction following nerve injury
- Nerve grafting and targeted nerve repair
These procedures require careful planning, hours of focused surgical work, and a thorough understanding of both anatomy and the principles of functional recovery.
Microsurgical Limb Salvage
In cases of severe injury or tissue loss, Dr. Janes may use microsurgical techniques to avoid amputation and preserve as much limb function as possible. This can involve free flap surgery, where healthy tissue from another part of the body is transplanted to the injured area and reconnected to local blood vessels and nerves.
Limb salvage is often necessary after high-energy trauma, failed previous surgeries, or tumor removal. Microsurgical reconstruction helps restore coverage, stability, and circulation, allowing the limb to heal and regain strength over time.
Dr. Janes works closely with orthopedic and trauma teams to coordinate care, selecting the best donor tissue and approach for each patient. Her goal is not only to save the limb but to ensure it can support meaningful function.
Brachial Plexus Reconstruction
The brachial plexus is a complex network of nerves that controls movement and feeling in the shoulder, arm, and hand. When these nerves are overstretched, torn, or avulsed (pulled away from the spinal cord), microsurgical repair is usually the most effective option.
Dr. Janes performs nerve grafts and transfers to reconnect or reroute functioning nerves, restoring movement in the upper limb.
These procedures require intricate suture work under magnification and a deep understanding of how nerve signals can be redirected to reanimate paralyzed muscles.
Recovery from brachial plexus surgery takes time, but many patients regain substantial function, especially when treated early. Dr. Janes collaborates with physical therapists and referring physicians to develop long-term recovery plans, maximizing each patient’s outcomes.
Is Microsurgery Right for You?
Microsurgery may be recommended when an injury, nerve condition, or reconstructive challenge involves structures that are too small or complex for conventional surgical techniques. These procedures are often used to restore blood flow, reconnect nerves, or transfer healthy tissue to support healing and function.
Candidates for microsurgery may include individuals experiencing:
- Severe hand, arm, or upper extremity injuries
- Brachial plexus injuries
- Complex nerve damage
- Tissue loss following trauma
- Complications from previous surgeries
- Functional limitations caused by chronic conditions
Because every case is unique, a comprehensive evaluation is necessary to determine whether microsurgical reconstruction is the most effective treatment approach. Dr. Janes carefully assesses each patient’s condition, goals, and overall health before recommending a personalized surgical plan.
Frequently Asked Questions
How Long Does Microsurgery Take?
Microsurgical procedures are often more time-intensive than traditional surgeries. Depending on the complexity of the reconstruction, surgery may take several hours to complete.
What Is Recovery Like After Microsurgery?
Recovery varies based on the type of procedure performed and the extent of the injury being treated. Many patients participate in physical or occupational therapy as part of their recovery plan to help restore function and strength.
Is Microsurgery Successful For Nerve Injuries?
Microsurgery can be highly effective for certain nerve injuries, particularly when treatment is performed promptly. Surgical outcomes are influenced by the extent of nerve damage, how quickly treatment is received, and the recovery process.
Does Microsurgery Leave Scars?
All surgical procedures result in some degree of scarring. Dr. Janes uses meticulous surgical techniques designed to achieve the necessary reconstruction while minimizing tissue disruption whenever possible.
Why Choose Dr. Lindsay E. Janes for Microsurgery?
Dr. Lindsay E. Janes brings advanced training and specialized expertise to complex microsurgical procedures. As a fellowship-trained plastic and reconstructive surgeon, she completed advanced fellowship training in hand and peripheral nerve surgery at the University of Pennsylvania, where she gained extensive experience in nerve reconstruction, brachial plexus repair, and microsurgical techniques.
In addition to her clinical practice, Dr. Janes serves as an Assistant Professor of Surgery at Northwestern University Feinberg School of Medicine. She remains actively involved in research, surgical education, and advancements in reconstructive care. Her extensive training in microsurgery, peripheral nerve surgery, and complex reconstruction allows her to create personalized treatment plans tailored to each patient’s needs. Patients throughout Chicago seek her care for her technical precision, compassionate approach, and commitment to long-term recovery.
Advanced Reconstructive Care in Chicago: Microsurgery Specialist
Microsurgery is one of the most technically demanding areas of modern surgery, but in the right hands, it offers remarkable results.
Patients from across Illinois seek out Dr. Janes for her advanced training, meticulous technique, and collaborative approach to care. Whether the goal is limb preservation or functional recovery after nerve injury, she brings clarity and compassion to every step of the surgical process.
To schedule a microsurgery consultation with Dr. Lindsay E. Janes in Chicago, call (312) 695-6022.