What is This Procedure?
This is a minor surgical procedure used to treat ingrown toenails by removing excess or inflamed skin tissue around the nail.
Rather than removing the nail itself, this technique focuses on removing the problematic soft tissue that the nail is growing into. This creates more space for the nail to grow normally.
This type of procedure is commonly used in moderate to severe cases, particularly where there is overgrown or infected tissue (granulation tissue) around the nail.
Why Might I Need This Treatment?
You may benefit from this procedure if you have:
- Painful ingrown toenails
- Swelling or infection around the nail
- Overgrown or “proud” tissue at the nail edge
- Recurrent problems despite previous treatments
- A preference to preserve the nail rather than remove it
What Does the Procedure Involve?
The procedure is performed under local anaesthetic to fully numb the toe. During the surgery:
- The toe is cleaned and prepared in a sterile manner
- A small incision is made around the affected area
- Excess skin and inflamed tissue are carefully removed
- The nail and nail root are usually left intact
- The wound may be:
- Left open to heal naturally, or
- Closed with stitches, depending on the technique
What Are the Benefits?
- Treats the source of pain and inflammation
- Preserves the natural nail appearance
- Low recurrence rates when performed correctly
- Avoids destruction of the nail root
- Can provide excellent cosmetic results
Are There Any Risks?
All surgical procedures carry some risk. These may include:
- Pain or discomfort after the procedure
- Bleeding
- Infection
- Delayed healing (especially if the wound is left open)
- Temporary sensitivity
We will discuss your individual risk factors with you before treatment.
What Happens After the Procedure?
- A dressing will be applied to your toe
- You may be advised to rest and elevate your foot initially
- The wound may:
- Heal naturally over several weeks, or
- Be reviewed for stitch removal if sutured
Pain is usually manageable with simple pain relief.
Recovery Time
- Initial healing: 2–4 weeks
- Full healing (if left open): up to 4–6 weeks
- Return to normal activities: varies depending on healing
Aftercare Advice
- Keep the dressing clean and dry
- Follow instructions for dressing changes
- Avoid tight footwear
- Attend follow-up appointments as advised
When Should I Seek Help?
Please contact the clinic if you notice:
- Increasing pain
- Redness, swelling, or discharge
- Bleeding that does not stop
- Fever or feeling unwell