Ram Horn Nails
Sometimes, the toenails become so overgrown and thickened and are difficult to cut with conventional nail clippers.
This nail disorder, known as onychogryphosis (’ram's horn nails’) is seen in older people or as a response to long-term pressure on the nails or a fungal nail infection.
What is onychogryphosis
(’ram's horn nails) Nail Surgery
Following a diagnosis of onychogryphosis (’ram's horn nails. Toenail or Fingernail onychogryphosiscan be removed surgically
The usual procedure is as follows:
The toe or finger is made numb and painless by injecting local anaesthetic into the base of the toe or finger.
The toenail or fingernail fungus is cut right up to the base of the nail root and the offending Onychogryphosis (’ram's horn nails) can then be pulled out.
We wait for the nail to grow back and see if it grows back with the onychogryphosis (’ram's horn nails)
If the nail is permanently removed. A small amount of acid (called phenol) is often put on the exposed part of the nail bed. This helps to stop the root of the nail from growing a full nail. (The nail surgery specialist will always discuss with you the best options.)
The nail is then dressed.
Once the anaesthetic wears off the toe or finger may be sore so you may need mild painkillers such as paracetamol for a day or so.
After the operation, the nail surgery specialist ior assistant will review your nail surgery wound and teach you how to dress the toe or finger.
What are the risk of nail surgery?
Infection following the removal of the nail/ nail piece
An allergic reaction to the chemical applied to the nail bed
Regrowth of the removed nail/nail piece
Distortion of the remaining nail following partial removal
A rare but serious allergic reaction (anaphylaxis) following the injection of the local anaesthetic.
A rare pain syndrome called chronic regional pain syndrome (1%)
Recurrence of the nail fungus.
GETTING INSURANCE TO COVER YOUR SURGERY
How to make a claim
Before you access care, understand your cover then
Gain pre-authorisation for a consultation
- if toe is infected, we may prescribe antibiotics
After the consultation gain pre-authorisation for toenail fungus or finger fungus removal.
Schedule a date and time for surgery suitable for you.
After the surgery, we will need to review the wounds and dress the wound*. Please gain follow up pre-authorisation
* Some insurance companies do not covered medication and dressing. Please check with your provider.
The Following are the codes
Initial consultation: No code needed
Nail surgery: S6400 or S7010 or AA628
Follow up consultation: No code needed
Nail Surgery Specialist Private Insurance Provider
BUPA Provider Number: 85020325
Cigna Provider Number: 203195
Vitality Health: Marion Yau
WPA Provider Number: 920706491
AVIVA Provider Number: 600099010
Simply Health, Helix and Health Shield: No membership number needed
A redeemable consultation is needed prior to surgery. This can be completed virtually or face to face. The cost includes local anaesthetic, nail removal, up to 3 wound reviews and antibiotics, if needed. All surgery will be performed by Marion Yau. If Marion Yau is not available, it will be a doctor or Podiatrist trained by her.
Additional nails each
Other Additional Treatment & Test
General Pracitioner consultation and prescription (In- House)
General Pracitioner consultation and prescription (Telephone)
Blood Test (General blood test and Liver Function Test)
Repeated Prescription Only
Ram's Horn Removal Nail Surgery
Marion Yau, Harley Street Nail Treatment and Surgery Specialist trained all our dedicated team. Marion Yau has over 18 years of experience in treating nails and 15 years of nail surgery experience. Marion Yau and her team will work with you to develop a treatment programme especially for you. Let's get you back on your feet today!
Our Podiatric Commitment
Our commitment to delivering a quality service sets us apart from others. When you engage in our services, we’ll offer you an appointment as soon as possible to get you back on your feet. We only employ qualified, registered practitioners, so you can be confident that you are receiving a professional service. Our clinic won various customer service awards and best clinic awards.