Bikini Incision Direct Anterior Hip Replacement in Los Angeles
Hip replacement has entered an entirely new era. Advances in surgical technique, robotic technology, and implant design now allow surgeons to replace the hip with extraordinary precision while preserving muscles, minimizing pain, and dramatically accelerating recovery. Among the most advanced options available today is bikini incision direct anterior hip replacement, a muscle-sparing approach designed to restore natural movement while leaving a discreet, cosmetically favorable scar.
This technique is not widely offered, and for good reason. The bikini incision direct anterior approach requires advanced training, extensive experience, and a surgeon who performs modern hip replacement at a high level every day. In Los Angeles, this procedure is performed by Dr. Farzin Kabaei, a board-certified orthopedic surgeon whose practice is focused on precision-based, robotic-assisted joint replacement for active patients who expect more than basic pain relief.
For the right candidate, bikini incision direct anterior hip replacement allows patients to walk the same day, return home quickly, and resume daily activities in a fraction of the time associated with traditional hip replacement surgery.
What Is Bikini Incision Direct Anterior Hip Replacement?
Bikini incision direct anterior hip replacement is a minimally invasive technique that replaces the hip joint without cutting major muscles or tendons. Instead of approaching the hip from the side or back, the surgeon works through a natural anatomical window at the front of the hip, gently moving muscles aside rather than detaching them.
The “bikini incision” refers to the placement of the incision within a natural skin crease near the groin, where it typically heals with minimal visibility. When combined with modern robotic planning and advanced implant positioning, this approach allows for exceptional accuracy and joint stability.
Unlike older hip replacement techniques, the direct anterior approach respects the body’s natural anatomy, helping patients regain strength, balance, and confidence more quickly.
Why Precision Matters With the Bikini Incision Approach
The bikini incision direct anterior approach is technically demanding. The surgical window is narrow, and implant placement must be exact. Small errors in alignment can affect leg length, stability, and long-term implant performance. Because of this, many surgeons do not offer the technique or only perform it occasionally.
Dr. Kabaei has built his practice around precision-based hip replacement, combining:
- Robotic-assisted preoperative planning
- 3D CT imaging to map each patient’s anatomy
- Muscle-sparing surgical execution
- Meticulous soft tissue handling
- Real-time implant positioning accuracy
This level of precision allows him to consistently achieve a stable, natural-feeling hip with a lower risk of dislocation and a smoother recovery process.
Benefits of Bikini Incision Direct Anterior Hip Replacement
For appropriately selected patients, the benefits of this approach can be significant.
- Muscle preservation, no major muscles are cut
- Lower dislocation risk due to preserved anatomy
- Faster recovery and less post-operative pain
- Earlier return to walking and daily activities
- More natural hip movement and balance
- Minimal visible scarring due to incision placement
- Same-day surgery and outpatient recovery for most patients
Patients often stop using walkers or crutches within days, shower immediately using waterproof silicone dressings, and resume normal routines far sooner than expected.
Who Is a Candidate for Bikini Incision Hip Replacement?
Not every patient is a candidate for the bikini incision approach, which is why surgeon experience and patient selection matter so much. Dr. Kabaei carefully evaluates each patient based on anatomy, lifestyle, bone quality, and overall health.
Ideal candidates often include:
- Patients with hip arthritis causing pain and stiffness
- Active individuals who want to return to sports or exercise
- Patients seeking faster recovery and minimal scarring
- Younger or middle-aged adults who want long-term durability
- Patients without severe deformity that would compromise safety
For patients who are not ideal candidates, Dr. Kabaei recommends alternative approaches that still prioritize precision, safety, and long-term function.
Advanced Robotic Planning for Anterior Hip Replacement
Every bikini incision direct anterior hip replacement performed by Dr. Kabaei begins with advanced preoperative planning. A 3D CT scan is used to create a detailed map of the patient’s hip anatomy, allowing the surgery to be planned before the first incision is made.
This planning enables:
- Exact implant sizing
- Precise restoration of leg length
- Accurate joint alignment
- ptimized implant positioning
- Customized surgical execution
Robotic assistance then helps execute the plan with a level of consistency that traditional techniques cannot match.
Experience That Directly Impacts Outcomes
Experience matters enormously with advanced hip replacement techniques. Over the course of his career, Dr. Kabaei has performed more than 2,000 hip replacements, including over 1,000 robotic-assisted joint replacement procedures.
In addition to primary hip replacement, he is frequently trusted with complex and revision cases, including failed prior hip replacements, loose or worn implants, infected joints, severe deformities, and post-traumatic arthritis. This depth of experience allows him to recognize subtle differences between patients and adapt the surgical plan accordingly.
His practice also serves as a training and education site, helping teach other surgeons how to safely and effectively use robotic joint replacement technology.
Recovery After Bikini Incision Direct Anterior Hip Replacement
Recovery is one of the most compelling advantages of this technique. Most procedures take approximately one hour and are performed using spinal anesthesia with regional nerve blocks, improving pain control and reducing side effects.
Patients typically experience:
- Standing and walking within hours of surgery
- Same-day discharge for most patients
- Immediate showering with waterproof dressings
- Home-based physical therapy initiation
- Rapid return to daily activities
Most patients resume normal daily activity within one to two weeks and return to exercise and gym activity shortly thereafter, depending on overall health and conditioning.
Long-Term Outcomes and Joint Performance
The goal of bikini incision direct anterior hip replacement is not simply pain relief, it is restoring natural movement and confidence. Advanced robotic planning, precise implant placement, and soft tissue preservation allow the new hip to move and feel natural rather than mechanical.
Patients frequently return to activities such as hiking, skiing, jogging, tennis, and strength training. When performed by an experienced specialist, modern hip replacement is one of the most successful and reliable procedures in all of medicine, with very low complication rates.
A Personalized, Patient-Centered Approach
Dr. Kabaei believes the best outcomes come from education, trust, and individualized care. Patients work directly with him from consultation through recovery, receiving a customized treatment plan that may include non-surgical options when appropriate.
Each plan is tailored to the patient’s goals, anatomy, and lifestyle, rather than a one-size-fits-all surgical model. Having personally undergone multiple orthopedic surgeries himself, Dr. Kabaei understands both the physical and emotional aspects of recovery, something patients consistently say makes them feel heard and reassured.
Bikini Incision Direct Anterior Hip Replacement in Los Angeles
Hip replacement no longer needs to be feared or delayed based on outdated information. With modern robotic techniques, muscle-sparing surgery, and rapid recovery protocols, patients can regain mobility, independence, and confidence sooner than ever before.
For patients in Los Angeles seeking bikini incision direct anterior hip replacement, Dr. Kabaei offers a level of precision, experience, and personalized care that reflects the new standard in modern joint replacement.
A natural-feeling joint, a discreet incision, and a faster return to the life you enjoy are not future promises, they are achievable outcomes when the surgery is performed by the right surgeon, using the right technique, for the right patient. Contact us to schedule your appointment with Dr. Kabaei.
Frequently Asked Questions About Bikini Incision Direct Anterior Hip Replacement
Bikini incision direct anterior hip replacement is a muscle-sparing hip replacement technique performed through the front of the hip using a small incision placed in a natural skin crease. The approach avoids cutting major muscles, allowing for faster recovery, improved stability, and a more natural-feeling hip after surgery.
Traditional hip replacement incisions are often placed on the side or back of the hip and may involve cutting muscle. The bikini incision is placed in a low, natural crease near the groin and typically heals with minimal visible scarring. The direct anterior approach also preserves muscle, which helps reduce pain and speed recovery.
Yes. Because the direct anterior approach preserves the muscles and soft tissues that stabilize the hip, it is associated with a lower dislocation risk when performed correctly. Precise implant positioning and soft tissue balance are key factors in maintaining long-term stability.
Not every patient is a candidate. Ideal candidates typically include patients with hip arthritis who want a faster recovery, minimal scarring, and a return to an active lifestyle. Final candidacy depends on anatomy, bone quality, overall health, and prior hip conditions, which are evaluated during consultation.
Yes. Dr. Farzin Kabaei uses advanced robotic-assisted planning for hip replacement. A preoperative 3D CT scan allows for precise implant sizing and alignment, helping restore natural hip mechanics and leg length with a high level of accuracy.
Most patients are standing and walking within hours of surgery. Because muscles are preserved and implants are immediately stable, many patients walk the same day and go home without an overnight hospital stay.
Most patients return to normal daily activities within one to two weeks. Many resume gym activity, low-impact exercise, and daily routines shortly thereafter, depending on individual health and conditioning.
For most patients, yes. The incision is placed in a natural skin crease and typically heals with a discreet, low-profile scar. While healing varies by individual, the cosmetic outcome is one of the advantages of this approach.
Yes. This approach is well suited for younger and highly active patients who want a durable, natural-feeling hip and a faster return to activity. Modern implant technology and precise surgical execution allow patients to return to sports and exercise without traditional limitations.
The bikini incision direct anterior approach is technically demanding and not widely offered. Outcomes depend heavily on surgeon experience, precise planning, and consistent execution. Surgeons who specialize in modern, robotic-assisted hip replacement and perform these procedures regularly are best equipped to achieve optimal results.