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Toenail surgery can be a permanent solution for long-standing issues.
The main reason people choose to have toenail surgery is for ingrowing toenails, however it can also help with chronic fungal nail infections or painful, thickened nails.
There are several options to choose from when considering toenail surgery. The first, and most popular option is the full and permanent removal of a problem toenail. Others choose to only have a section of the nail removed, for example, one side of the nail, or even a small section from either side of the nail. This option gives a better cosmetic result as well as solving chronic ingrowing nail issues permanently, as the nail will usually look normal after it has healed.
It is also possible to allow the nail to regrow after removal although this does not guarantee that the problem will not re occur when the nail does grow back.
If you are considering toenail surgery we recommend you book a clinic appointment so we can assess your problem and decide with you if nail surgery is the best option.
We will then complete assessment forms and ascertain whether toenail surgery is appropriate for you, as some medical conditions rule this option out. You will then have the opportunity to ask any questions before we book you in for your surgery at a date convenient for you.
It is worth noting that you will not be able to drive after nail surgery, and may need a few days off work whilst you recover, although many clients are back to normal the next day.
On the day of your nail surgery you can and should eat as normal. You will be asked to bring a pair of open toed or very loose-fitting shoes as you will have a large dressing applied after treatment.
Firstly we will review your notes and double-check that you wish to go ahead with the procedure; you can change your mind at any time up to here!
The surgery itself is straightforward and usually takes less than 30 minutes per toe. Anasthetic is injected into the toe and given time to work. We always test the area to ensure you cannot feel any pain before commencing surgery, and will inject more anasthetic if required! You are very welcome to bring a distraction such as a book or iPad if you wish.
The full or part nail is then removed painlessly, and a chemical called Phenol applied to prevent regrowth. Finally a sterile dressing will be applied.
After Your Surgery
We recommend you keep your dressing clean and dry, and that you return 3 days later so we can check and re-dress your toe.
We will make at least one more appointment for monitoring and redressing, as well as providing you with a pack of spare dressings to use at home. If more review appointments are needed they will be booked as and when required, and you can contact us at any time after your surgery if you have questions or concerns. We anticipate that you will be fully healed within 6 weeks, and you can carry out normal activity in this time.