Ingrown Toenail Surgery
Ingrown Toenail Surgery
What is Ingrown Toenail Surgery?
An ingrown toenail surgery could include partial or full removal of the nail under local anaesthesia. The nail removal surgery may involve a chemical called phenol to help prevent the ingrown toenail from recurring. Alternatively surgery such as the Zadik’s procedure could be advised. The nail bed is cut out by exposing the nail bed and removing the ingrown toenail. It is then stitched back so that the skin is cut is covered again Below we will expand on the different surgery options for ingrown toenail removal. Ingrown Toenail Treatment Options
If you have a persistent, infected or recurrent ingrown toenail, or a fungal nail, then your specialist may suggest having the nail partially or fully removed. The procedure can also be carried out with the use of a chemical called phenol, this is applied to the nail bed to stop the nail from growing back, this is typically applied when you have a recurrent issue.
This procedure is usually carried out as a minor outpatient procedure under local anaesthesia, you can leave directly following rather than being admitted into a hospital.
Your foot specialist will start by cleaning the toe and injecting local anaesthesia to either side of the base of the toe. Once numb, the section of the nail or whole nail will be cut down to the base of the nail. The nail will be removed and hypergranulation tissue (scab under the nail) will be removed.
It’s suggested that you take a cab home and rest for the remainder of the day, you can return to non manual work the following day. For the first 3 weeks you will need to re-dress and salt water bathe the toe daily. At two weeks postoperative you can continue with high impact activities.
For self-funding patients, we offer a package fee of £747 with our podiatrist Mr Steven Thomas for a consultation, partial/ full nail removal of one nail under local anaesthesia and postoperative reviews. The fee is £200 for each additional nail removed.
Book online today for an initial consultation and ingrown toenail procedure with Mr Steven Thomas
If you have had a recurrent ingrown toenail, which has previously been partially or fully moved, then your specialist may advise on excision of the nail bed. This will remove the root that contains the cells where the nail grows, this will stop the nail from growing back.
The procedure may be carried out under local anaesthesia or sedation, you will typically be admitted into hospital for half a day. Your surgeon will excise the corner of the base of the nail and remove the root, alongside the affected section of the nail that is causing you pain. This is then closed with stitches.
Following the procedure you should rest at home for 3 – 5 days. You should avoid high impact activities for the first 3 – 4 weeks.
Ingrown toenails can also be caused by a subungual exostosis, this is where a small bone spur on top of the bone underneath your nail. This can cause the nail to lift and push into the sides of the toes. Prior to surgery X-rays are carried out to confirm the presence of the bone spur.
The procedure can be carried out under local anaesthesia or sedation as a day case, you will typically be admitted into hospital for half a day.
Your surgeon will start by making an incision at the top or the end of the toe. The nail may need to be partially or fully removed so that they can access the bone spur, the bone spur is removed by specialised instruments and the wound is then stitched.
You should rest at home for five days following the procedure. Stitches are removed 10-14 days following the surgery. The wound should be soaked in salt water and re-dressed daily until the wound has healed. You will need to avoid high impact activities for three-four weeks.
What are the benefits of surgery?
The benefits of surgery for ingrown toenail involve a permanent resolve of problem. It is highly successful with 95% success rate. You remain mobile through the whole processComplication after Surgery
Complications after surgery include infection and regrowth. Infection risk is usually less than 1%. However, if there is a current infection, then you may need an antibiotic as most people present with infection when they have an ingrown toenail. Recurrence rates are about 1 in 20. This is when the chemical does not work or the nail matrix tries to grow back after excisional procedure.Before & After Images Ingrown Toenail Surgery
Ingrown toenail surgery on the day of surgery and one week postoperative.
Booking Your Appointment
For the partial or full nail removal, we can carry out the consultation and treatment on the same day under local anaesthesia with Mr Steven Thomas. Book online today for an initial consultation and ingrown toenail procedure with Mr Steven Thomas Mr Steven Thomas is covered by most major insurance companies, excluding AXA PPP and Bupa. If you are using Bupa or AXA PPP please instead select Mr Kaser Nazir as your specialist, who is covered by all major insurance companies. For recurring nail issues we would recommend scheduling with Mr Kaser Nazir, who can assess whether excision of the nail bed or the exostectomy procedure would instead be recommended. Book An Appointment with Mr Kaser NazirIngrown Toenail Surgery: Frequently Asked Questions
It’s possible to bathe in salt water and try to remove a small spike of nail if you are not cutting through the skin and if it’s not painful.
The procedure is performed under local anaesthetic.
Initially you need to rest for about 24 hours. After that, wear a loose sandal and a large bandage.
Yes, you will be able to walk and be fully mobile.
It is known as a partial nail avulsion procedure. This is the most common ingrown toenail surgery performed worldwide.
An alternative is regular management by a chiropodist or pedicurist.
Permanent ingrown toenail surgery, known as partial nail avulsion, is a minor procedure that permanently resolves the problem.
Pus can sometimes be reduced with salt water bathing. We do not recommend using instruments to cut the area. You may need to see a specialist podiatrist.
