Dr. Hina Altaf Dermatologist

Nail Surgery

Nail Surgery

Nail surgery is a medical procedure performed to correct a variety of nail problems such as ingrown toenails, fungal infections, and traumatic injuries. It is typically performed under local anesthesia on an outpatient basis. If you are experiencing persistent nail problems, it is essential to consult a professional who can provide you with the appropriate diagnosis and treatment options.

Ingrown toenails are a common condition that can be caused by various factors such as genetics, tight-fitting shoes, and improper nail trimming. They occur when the nail grows into the surrounding skin, causing pain, swelling, and infection. In severe cases, ingrown toenails can lead to abscesses, which require surgical intervention to drain the pus and remove the affected portion of the nail.

Fungal nail infections are another common problem that can affect the appearance and health of your nails. They occur when fungi invade the nail bed and cause the nail to become discolored, thickened, and brittle. Although antifungal medications can be effective in treating mild to moderate fungal infections, more severe cases may require nail surgery to remove the infected nail and allow for the growth of a healthy one.

Nail surgery can also be used to address traumatic injuries to the nail, such as a broken or partially detached nail. In these cases, the nail may need to be surgically removed or repaired to prevent further damage and promote proper healing.

Types of Nail Surgeries

There are several types of nail surgeries that can be performed to address various nail conditions. Here are some of the most common types:

  • Partial Nail Avulsion: This procedure involves removing a portion of the nail that is causing an ingrown toenail. The edge of the nail is lifted and a portion of the nail matrix (the area that produces new nail growth) is destroyed to prevent the problem from recurring. This procedure typically takes about 20-30 minutes to complete, and patients can usually return to normal activities immediately after the procedure. There may be some discomfort or mild pain, but this can be managed with over-the-counter pain medications. Recovery time is usually minimal, with most patients experiencing complete healing within a few weeks.

 

  • Total Nail Avulsion: This procedure involves the complete removal of the nail, often to treat severe ingrown toenails or fungal nail infections. The nail bed is treated with a chemical solution to prevent regrowth of the nail. This procedure can take up to an hour to complete, and patients may need to take a day or two off work to rest and recover. There may be some discomfort, swelling, and redness following the procedure, and patients may need to keep the foot elevated and apply ice to reduce swelling. It can take several weeks for the nail bed to heal completely and for a new nail to start growing.

 

  • Matrixectomy: This is a more extensive nail surgery that involves the removal of the entire nail matrix, the area where the nail grows from. It is typically used to treat chronic or recurrent ingrown toenails. This procedure can take up to an hour to complete. Patients may need to take a few days off work to rest and recover, and there may be some pain, swelling, and redness. It can take several weeks for the nail bed to heal completely and for a new nail to start growing.

 

  • Nail Biopsy:This procedure involves removing a small sample of nail tissue for examination to diagnose fungal infections or other nail diseases. This is a simple procedure that typically takes only a few minutes to complete. Patients can usually return to normal activities immediately after the procedure. There may be some mild pain or discomfort, but this can be managed with over-the-counter pain medications. Recovery time is minimal, with most patients experiencing complete healing within a few days.

 

  • Drainage and Debridement:This procedure is used to treat infections in the nail bed or surrounding tissues. It involves draining pus or fluid from the affected area and removing any dead or infected tissue. This procedure can take anywhere from a few minutes to an hour to complete, depending on the extent of the infection. Patients can usually return to normal activities immediately after the procedure. There may be some mild pain or discomfort, but this can be managed with over-the-counter pain medications. Recovery time is usually minimal, with most patients experiencing complete healing within a few days to a week.

 

The type of nail surgery recommended will depend on the specific condition and severity of your nail problem, as well as your overall health and medical history. Your doctor can help determine the best course of action for your individual needs. It is important to follow your doctor’s instructions for post-operative care to ensure proper healing and minimize the risk of complications.

Minimal Downtime

You can return to your daily routine immediately after

Immediate Results

Results within 24 to 48 hours, with full results in 30 days

Painless Procedure

Brief period of discomfort during the injection, similar to a pinch

Results That Last

Effects typically last for several months

Nail surgery is a medical procedure performed to treat various nail conditions or abnormalities that cannot be resolved through conservative treatments. It involves the removal of a part or the entire nail, correction of nail deformities, or treatment of nail infections.
Nail surgery may be necessary in cases of severe nail infections, ingrown nails, nail deformities, chronic ingrown toenails, or recurrent nail problems that significantly impact the quality of life. It is typically recommended when conservative treatments, such as medications or nail care techniques, have not been successful.
The specific technique used in nail surgery depends on the nature and severity of the nail condition. Common nail surgery procedures include partial or complete nail avulsion (removal), matrixectomy (removal of the nail matrix), and nail bed repair. These procedures are usually performed under local anesthesia to ensure patient comfort.
Nail surgery is typically performed under local anesthesia, which numbs the area and minimizes pain during the procedure. However, it is common to experience some discomfort or mild pain during the recovery period. Your doctor will provide instructions on how to manage pain and may prescribe pain medications if necessary.
The recovery process after nail surgery varies depending on the specific procedure performed. Generally, it involves keeping the surgical area clean, applying dressings or bandages as instructed, and taking any prescribed medications. You may need to avoid activities that put pressure on the affected nail for a period of time. It's important to follow your doctor's post-operative instructions for optimal healing.

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Dr. Hinah Altaf’s clinic is currently at Gargash Hospital, 145 Umm Suqeim Street – Umm Al Sheif -Dubai.