Nail Surgery Explained, Procedure and FAQs

If you’ve read about our ingrown toenails treatments, you’ll know ingrown toenails can be more than just a minor nuisance. When conservative treatments no longer cut it, nail surgery becomes a safe and effective option. Below, we walk you through what to expect from the procedure itself to recovery and FAQs.

The Nail Surgery Procedure: Step-by-Step

If conservative treatment isn’t effective or the issue keeps returning, nail surgery is often the best long-term solution. Here is a look at the proceedure:

1. Local Anaesthesia

Before the procedure begins, your podiatrist will administer local anaesthesia:

• Two small injections are given at the base of the toe, just where it connects to the foot
• This completely numbs the toe, ensuring you feel no pain during the procedure
• The anaesthesia takes effect quickly, and you'll remain awake and comfortable throughout

2. The Surgical Procedure

Once your toe is fully numb, the surgical procedure follows these steps:

• Preparation: A tourniquet is placed around the toe to temporarily restrict blood flow, creating a clear surgical field
• Nail Removal:
  • The podiatrist precisely cuts along the ingrown edge of the nail
  • The problematic section of nail is carefully removed
  • A special file is used to ensure all nail debris is completely cleared from the area
• Nail Matrix Treatment:
  • Phenol (a chemical solution) is applied to the nail matrix
  • This sterilises the area and prevents regrowth of the problematic nail edge
  • The application is repeated several times to ensure effectiveness
• Completion:
  • The tourniquet is removed, allowing normal blood flow to resume
  • The toe is cleaned and dressed with sterile bandaging

Throughout this entire process, you will feel no pain due to the anaesthesia. The procedure is performed with precision tools and techniques to minimise trauma and promote quick healing.

Your podiatrist will provide detailed aftercare instructions to ensure proper healing and prevent infection following the procedure.

3. Post-Surgery Care

This is very important.  Most infections will occur within the first week, but the toe can be prone to infection for 2 weeks. It is normal to have a clear discharge coming from the toe.  Any sign of a brown or yellow discharge with a presence of pain or increased redness may indicate bacterial infection. Please contact your podiatrist if you are concerned.

• Pain killers may be required later that night, once the anaesthetic wears off.
• Ensure the dressing stays dry to reduce the chance of infection.  Do not go swimming.
• Avoid activity that may injure the toe, excess pressure on the toe will delay healing.
• Alcohol should be avoided for 24 hours.
• Two follow up visits to the podiatrist are required after the surgery to review the procedure.
• Monitor for signs of infection – redness, swelling, pain.
• If you experience any excessive bleeding or pain, please contact us or your local GP.
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‍Frequently asked questions

Still have questions? Here are the answers to the most common ones we hear from patients.

Do you provide discounts for nail surgery?

No, nail surgery is a specialist procedure, performed by our skilled and experienced podiatrists. Some private health funds may cover some of the expense. You can check with your fund to find out if you are covered by referring to the item numbers above.

Will my ingrown toenail heal on its own?

A. Good news – If treated early, ingrown toenails can be easily managed and can heal on their own. However, when left untreated, infection can be difficult to shift. As long as the condition is not severe and there isn't any sign of infection (like pus or significant swelling), it's often possible for the problem to resolve without medical intervention. Learn more about At-Home Solutions For Ingrown Toenails.

‍What if my ingrown toenail is infected?

‍A. If your nail is infected, it won't heal on its own. Neglecting proper treatment for an infected ingrown toenail can lead to painful complications and potentially worsen the condition. Seeking professional assistance from a podiatrist is crucial to effectively address the infection and prevent further discomfort.

What does professional treatment involve?

Professional treatment typically involves several steps tailored to your specific situation. The podiatrist will carefully evaluate your condition by examining your toe and assessing any underlying causes contributing to recurrent ingrown nails. Your podiatrist might recommend oral antibiotics or topical medications to combat infection and reduce inflammation.

Can I eat before my ingrown toenail surgery?

Yes, as the operation is carried out under local anaesthetic you can eat and drink as normal.

How long does the ingrown toenail surgery take? ‍

We will usually allow an hour for a nail surgery to remove a partial nail on one toe.

How long does the anaesthetic last?

Approximately 2-3 hours, with possibly 12 hours of paresthesia (pins and needles).

Can I drive after my ingrown toenail surgery? 

No, not until the anaesthetic has worn off. It is also not recommended that you drive any significant distance for the first couple of days after surgery.

What should I bring on the day of my ingrown toenail surgery?

Bring with you a pair of sandals/loose fitting slippers to accommodate the dressing and details of any changes in your health or medication. 

How much pain should I expect after surgery?

This depends on individual patients, but the surgical site may feel uncomfortable for a couple of days. Normal painkillers should be sufficient to deal with any pain you experience. Sudden increase in pain several days after surgery may indicate an infection. You should contact us straight away.

How long does it take for the surgical site to heal?

This depends on several factors such as the patient’s health, circulation, medication etc. The average healing time for a partial nail removal is 4-6 weeks, and for a full nail removal 6-8 weeks.

Ready to stop the cycle of painful ingrown toenails?‍

Book an appointment with one of our experienced podiatrists today and take the first step toward lasting relief.