Nail Removal & Nail Surgery
What is Nail Removal?
Nail removal, also known as nail avulsion, is a surgical procedure to remove a nail from the toe or finger. It’s usually performed to treat ingrown toenails, fungal infections, or nail trauma. As a dermatologist, I assess the nail and surrounding skin to determine the best approach. Nail removal can be partial or total, depending on the condition. The procedure is usually done under local anesthesia to minimize discomfort.
Types of Nail Removal
There are two types of nail removal: partial and total. Partial nail removal involves removing only the affected portion of the nail, while total nail removal involves removing the entire nail. I choose the approach based on the severity of the condition and the patient’s overall health. Partial nail removal is often used for ingrown toenails, while total nail removal is used for more severe conditions like fungal infections.
Nail Surgery for Ingrown Toenails
Nail surgery is often necessary to treat ingrown toenails. Ingrown toenails occur when the nail grows into the surrounding skin, causing pain, redness, and swelling. I perform a partial nail removal to remove the ingrown portion of the nail. The procedure is usually done under local anesthesia and takes about 30 minutes. After the procedure, patients can expect some discomfort and swelling.
Nail Surgery for Fungal Infections
Fungal infections, like onychomycosis, can cause thickening, discoloration, and brittleness of the nail. In severe cases, nail surgery may be necessary to remove the infected nail. I perform a total nail removal to ensure the infection is fully cleared. The procedure is usually done under local anesthesia and takes about 30 minutes. After the procedure, patients can expect some discomfort and swelling.
Preparation for Nail Surgery
Before nail surgery, patients should prepare by stopping certain medications, like blood thinners, and avoiding smoking. They should also wash their feet thoroughly and trim their toenails straight across. On the day of the procedure, patients should wear loose, comfortable clothing and arrive at least 30 minutes before the scheduled time. I will provide detailed instructions to ensure a smooth procedure.
The Nail Surgery Procedure
The nail surgery procedure typically takes 30 minutes to an hour. I start by administering local anesthesia to numb the area. Then, I carefully remove the nail, either partially or totally, depending on the condition. The area is cleaned and dressed with antibiotic ointment and a bandage. Patients can expect some discomfort and swelling after the procedure.
Aftercare for Nail Surgery
After nail surgery, patients should keep the area clean and dry. They should avoid soaking the foot in water or engaging in strenuous activities. Patients should also take pain medication as directed and apply antibiotic ointment to the affected area. I provide detailed aftercare instructions to ensure optimal healing and minimize complications.
Risks and Complications of Nail Surgery
As with any surgical procedure, nail surgery carries some risks and complications. These include infection, bleeding, and nerve damage. Patients should follow aftercare instructions carefully to minimize these risks. I also provide detailed instructions on what to expect during the recovery period.
Nail Regrowth After Surgery
After nail surgery, the nail will regrow, but it may take several months. In some cases, the nail may not regrow normally, leading to changes in texture or shape. Patients should be patient and gentle with their nail as it regrows. I provide guidance on how to care for the new nail to ensure optimal growth.
When to Seek Medical Attention
If patients experience increased pain, swelling, or redness after nail surgery, they should seek medical attention. Other signs of complications include pus, fever, or increased bleeding. I encourage patients to contact me immediately if they have any concerns or questions after the procedure.