Nail Surgery
General Dermatology
Nail Surgery
Treatment Overview
Ideal For:
- Ingrown toenails
- Recurring nail infections
- Nail deformities
- Painful nail conditions
Nail Surgery: Permanent Solutions for Nail Problems
Nail surgery is a specialized dermatological procedure designed to address persistent nail conditions that don’t respond to conservative treatments. Our experienced dermatologists perform minimally invasive nail surgeries under local anesthesia, providing permanent relief from painful and recurring nail problems.
Conditions We Treat
Ingrown Toenails (Onychocryptosis)
- Nails growing into surrounding skin
- Recurring infections and inflammation
- Chronic pain and tenderness
Nail Infections
- Severe fungal nail infections (onychomycosis)
- Bacterial nail bed infections
- Chronic paronychia
Nail Deformities
- Thickened nails (onychogryphosis)
- Curved or pincer nails
- Traumatic nail damage
Types of Nail Surgery
Partial Nail Avulsion - Removal of the problematic portion of the nail, usually the ingrown edge. The nail matrix may be treated to prevent regrowth of the troublesome section.
Total Nail Avulsion - Complete removal of the nail plate when the entire nail is affected. The nail bed is preserved for healthy regrowth.
Nail Matrixectomy - Permanent destruction of part or all of the nail matrix to prevent regrowth. Options include:
- Chemical matrixectomy (phenol application)
- Surgical matrixectomy
The Nail Surgery Process
- Assessment - Evaluation of the nail condition and medical history
- Preparation - Cleaning and sterilization of the surgical area
- Anesthesia - Local anesthetic injection for complete numbness
- Procedure - Careful removal of affected nail tissue
- Treatment - Application of chemical or surgical matrixectomy if needed
- Dressing - Sterile bandaging with aftercare instructions
What to Expect
During Surgery: The toe is completely numb; you may feel pressure but no pain. First Week: Keep the foot elevated when possible. Mild discomfort is normal and manageable. Healing Period: 4-8 weeks for complete healing. The nail bed gradually heals beneath the dressing. Long-term: Permanent resolution of the problem with proper nail regrowth (if applicable).
Post-Operative Care
- Keep the dressing clean and dry for the first 24-48 hours
- Soak in warm salt water as directed after initial healing
- Wear comfortable, open-toed footwear when possible
- Attend scheduled follow-up appointments
- Take prescribed antibiotics and pain relief as needed
Benefits of Professional Nail Surgery
- Permanent Solution - Addresses the root cause, not just symptoms
- Minimal Discomfort - Modern techniques ensure a comfortable experience
- Quick Recovery - Return to normal activities within days
- Expert Care - Performed by experienced dermatologists
Procedure time: 30-45 minutes Anesthesia: Local (digital nerve block) Recovery: Walking immediately; full healing in 4-8 weeks
Don’t suffer from painful nail problems any longer. Schedule your consultation to discuss the best surgical solution for your condition.
Frequently Asked Questions about Nail Surgery
Is nail surgery painful?
The procedure is performed under local anesthesia, ensuring you feel no pain during surgery. Post-operative discomfort is manageable with prescribed medications.
How long until I can walk normally after nail surgery?
Most patients can walk immediately after the procedure, though you should avoid prolonged standing or strenuous activities for 1-2 weeks.
Will my nail grow back after surgery?
Depending on the procedure, partial nail removal allows regrowth of healthy nail, while permanent procedures prevent regrowth of problematic nail sections.
How do I care for my toe after nail surgery?
Keep the area clean and dry, change dressings as instructed, and attend follow-up appointments for optimal healing.
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