By Dr. John Heineman, Board-Certified Plastic Surgeon at Iowa Ortho

Have you ever wondered why your hand surgeon might also be trained as a plastic surgeon? In the world of medical specialties, hand surgery and plastic surgery often overlap more than people realize. Although they may seem like separate disciplines, both are deeply connected through a shared focus on reconstructive surgery and the intricate anatomy of the human hand and upper extremities.

“As a hand surgeon, I chose to pursue additional training in plastic surgery because I wanted to offer my patients the most comprehensive care possible—care that restores both form and function. The decision to follow this path came from a clear understanding: managing the delicate structures of the hand requires more than orthopedic knowledge alone. It calls for advanced expertise in soft tissue reconstruction, microsurgery, and aesthetic restoration.

“Plastic surgery training offers a holistic approach to reconstruction—one that encompasses not only the hand but the entire body. This broader foundation is incredibly valuable when treating the wide array of injuries and conditions that affect the hand, wrist, and arm. Whether I’m repairing a traumatic laceration, correcting a congenital deformity, or relieving a nerve compression syndrome like carpal tunnel, my background in plastic surgery gives me the tools to optimize both the appearance and performance of the hand.

“The hand is one of the most complex and expressive parts of the human body. It’s how we interact with the world—how we work, create, communicate, and care for others. That’s why even minor injuries can have a major impact on quality of life. The loss of hand function or form can affect not only physical ability, but also self-esteem and emotional well-being.

“Plastic surgery brings an added dimension to hand and upper extremity care. Through techniques like microsurgical nerve repair, vascular reconstruction, skin grafting, and tissue flaps, we can restore damaged areas in a way that prioritizes both aesthetics and utility. And because many hand surgeries require meticulous attention to detail, the precision learned through plastic surgery training is a crucial asset in achieving the best possible outcomes.

“For me, this specialty is about more than just repairing injuries—it’s about restoring independence, confidence, and hope. Whether it’s helping a musician return to their instrument, an athlete get back on the field, or a farmer grip their tools again, the goal is always the same: to help people fully engage in the activities that give their lives meaning.

“By combining the principles of reconstructive plastic surgery with a deep understanding of hand anatomy and biomechanics, I strive to deliver personalized, high-level care to every patient I see.”

If you’re facing a hand or upper extremity issue and want to explore your options, Dr. Heineman is here to help.

Schedule a consultation by calling us at 515-247-8400 or by using the online self-scheduling tool.