Procedures

Most ingrown toenail procedures can be performed in the clinical rooms under local anaesthetic. Cases that involve more invasive toe procedures (either under sedation or a general anaesthetic) are performed in an accredited surgery centre or private hospital as day case surgery.

Do I need a Toenail procedure?

Not all patients with ingrown toenails require surgery. Most ingrown toenails can be treated conservatively with appropriate nail cutting technique, appropriate footwear and periodic nail care. In cases where conservative management is ineffective, nail surgery may be required. Sometimes, further investigation, such as an x-ray of the toe, is necessary before undertaking a definitive nail procedure.

Other factors such as a patient’s medical history and medications, or the presence of a toe deformity, Bone Spur or growth, may also affect whether nail surgery or additional procedures are the best option.

Mr Paul D’Arcangelo and Mr. Simon Smith have extensive experience in managing complicated cases or previous failed ingrown toenail surgery.

Ingrown Toenail Group practitioners will perform a comprehensive assessment and discuss a management plan with you during your consultation. For more information, visit our Frequently Asked Questions page.

 

Partial Nail Avulsion

A Partial Nail Avulsion procedureThis is one of the most commonly performed procedures for the management of ingrown toenails. With this procedure, a small portion of offending nail and nail root is carefully removed (2). The nail bed and root area corresponding to the portion of nail removed is then cauterised (a small medicated burn) (3). This results in permanent removal of the offending nail side (4).Following this procedure, a sterile dressing is applied to the toe. The toe is then dressed regularly by the patient until the nail bed and root region is healed. Each patient is followed up closely to ensure appropriate healing of the procedure site. This procedure is performed by Mr. Paul D’Arcangelo and Mr. Simon Smith.

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Wedge Resection

A Wedge Resection procedure involves cutting out the ingrown toenail and using stitches to close the wound. This procedure is often useful if Partial Nail Avulsion is unsuccessful. It is also used in instances where there is a Bone Spur under the toenail in addition to an ingrown toenail. This procedure is performed by Podiatric Surgeon, Mr. Simon Smith.


Bone Spur Excision

In cases where a Bone Spur is growing under the toenail and is causing pain, a procedure to remove the Bone Spur is necessary (syn. Subungual Exostectomy). This procedure can be performed under a local anaesthetic, under sedation or a general anaesthetic. Most often, the spur is removed through a small incision at the tip of the toe. The nail is often left intact. The incision is then stitched closed. This procedure is performed by Podiatric Surgeon, Mr. Simon Smith.

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Other procedures

Patients attending the Ingrown Toenail Group have access to practitioners who perform a range of procedures for the management of ingrown toenail and related toe pathologies. Podiatric Surgeon, Mr Simon Smith, has a broad experience in the surgical management of abnormal skin and bone growths, associated with painful toes and toenails. Mr Smith also performs reconstructive toe procedures to help re-align toes that contribute to ingrown toenails.