Nail Surgery & Nail Reconstruction

Surgical toenail removal (also known as avulsion of the nail plate) is a common method of treatment for a variety of conditions, including “ram’s horn nails” (onychogryphosis) and an ingrown toenail or trauma to the nail.

How is it performed?


Toenail removal may be partial or complete and is carried out under local anaesthetic in the clinic by our Podiatrists. A chemical called phenol is applied to the affected area to prevent the partial or full nail from growing back. A pre-operative assessment is carried out to determine the best option and your ability to heal after the surgery. You will require regular dressings for approximately two weeks.  Overall healing time can take four to six weeks dependent on your foot health.

Why is it important?


This is a simple and effective procedure and especially important when you have a serious medical condition such as rheumatoid arthritis and diabetes to prevent ongoing infection.

We diagnose and treat a range of foot problems by assessing the cause of the problem and not only treating the symptoms.

Nail Reconstruction for Trauma / Fungal Nails

Toenail reconstruction is performed by a podiatrist using a specialist gel that is layered over unsightly, fungal or misshapen nails so that the nail is more aesthetically pleasing.  We recommend a chiropody appointment beforehand to enable us to check for infections and/or re-shape the natural nail to give a better finish.

Who will benefit from this?


This painless procedure results in a maintenance-free finish and is aimed at patients with very thick, yellow and fungal nails or even patients with calloused layers of skin where there is no toe nail.  It assists with pain relief and sensitivity due to chronic conditions when wearing footwear. It is also used for diabetics and patients with psoriatic nails or nails requiring protection from infection as a result of vertical splits.

What happens during the procedure?


Your podiatrist will take a full medical history and decide what treatment is best for you.  The nail is then prepared by removing excess skin and loose nail.  A layer of connex is then applied to assist with adhesion. The gel is then layered and moulded to your natural nail shape.  Each layer is dried under a UVA light, a top coat is added for extra protection and you will be able to leave the clinic in your normal footwear.