👣 What is Nail Excision?

Nail excision refers to the partial or total removal of a fingernail or toenail. It is a minor surgical procedure typically done under local anesthesia and is used to treat a variety of nail conditions, particularly when non-surgical methods have failed.

There are two main types:

• Partial Nail Excision: Only a part of the nail is removed (usually the sides), commonly done for ingrown toenails.

• Total Nail Excision: The entire nail plate is removed when the nail bed is severely infected or damaged.

When is Nail Excision Needed?

Nail excision is often recommended for patients who suffer from:

• Ingrown toenails that are painful or infected

• Recurring nail infections (bacterial or fungal)

• Trauma or injury to the nail

• Thickened nails due to fungal infection

• Tumors or cysts under the nail

• Chronic nail bed pain or swelling

• Deformed or abnormal nail growth

When these issues don’t improve with antibiotics, antifungal creams, or proper nail trimming, nail excision offers a long-term solution.

What Causes Nail Conditions That Require Excision?

Several factors may lead to chronic nail problems that necessitate excision:

• Improper nail trimming

• Tight or ill-fitting shoes

• Repeated trauma to the toes

• Fungal or bacterial infections

• Poor foot hygiene

• Genetic predisposition

• Structural foot deformities (flat feet, bunions)

How is the Nail Excision Procedure Performed?

At Hplus Super Specialty Clinic, the nail excision procedure is performed by trained specialists using sterile instruments and advanced techniques. Here’s what you can expect:

Step 1: Consultation

Your doctor will examine the nail, assess the severity of the condition, and decide whether a partial or total excision is needed.

Step 2: Local Anesthesia

A numbing agent is injected around the toe or finger to ensure a painless experience.

Step 3: Nail Removal

Depending on your condition:

• Partial excision involves removing the affected edge of the nail and treating the underlying tissue.

• Total excision involves removing the entire nail plate. In chronic cases, a chemical (phenol) may be applied to prevent regrowth.

Step 4: Dressing

The area is cleaned and dressed with antiseptic and gauze. You’ll receive instructions on post-op care.

Procedure Duration and Recovery

• Time Taken: 20–30 minutes

• Type: Outpatient (no hospital stay required)

• Back to Work: Usually within 1–2 days

• Full Healing: 1–3 weeks (depending on the procedure and individual healing)

Post-Procedure Care Tips

Proper aftercare is crucial to ensure healing and prevent infection:

• Keep the area clean and dry

• Change dressings as advised

• Take prescribed antibiotics or painkillers

• Avoid tight shoes or physical strain on the foot

• Do not attempt to trim the nail yourself

• Follow up as scheduled

Benefits of Nail Excision

✔️ Permanent solution to recurring nail problems
✔️ Quick procedure with minimal downtime
✔️ Pain relief and restored nail function
✔️ Prevents future infections or deformities
✔️ No visible scarring in most cases

Frequently Asked Questions (FAQs)

Q: Is nail excision painful?
A: No. The procedure is done under local anesthesia, so you won’t feel pain during the process. Some mild soreness may be felt afterward.

Q: Will the nail grow back?
A: If only a part of the nail is removed, it usually grows back. In total excision with chemical cauterization, the nail may not regrow.

Q: Can I walk after the procedure?
A: Yes, most patients can walk immediately after the procedure, but it’s best to rest the foot for the first day or two.

Q: How do I prevent ingrown nails in the future?
A: Cut nails straight across, wear properly fitting shoes, and maintain good foot hygiene.

When Should You See a Doctor?

You should seek medical attention if:

• Your toenail is red, swollen, or pus-filled

• You have recurring ingrown nails

• You experience nail pain while walking

• There’s visible deformity or thickening of the nail

• Home remedies are not working

Get Expert Nail Care at Hplus Super Specialty Clinic

At Hplus Super Specialty Clinic, we provide advanced and patient-friendly solutions for nail-related problems, including nail excision surgery. Whether you’re dealing with chronic ingrown nails or painful nail deformities, our experts ensure quick relief and complete recovery.

Book Your Appointment Today! +91-9810-885-868

Patient Testimonials

“I had an ingrown toenail that kept getting infected. After the nail excision at Hplus, the pain disappeared, and it hasn’t returned!”
— Sunita M.

“The doctors explained everything and made me feel relaxed. The procedure was fast and I was back to work the next day.”
— Rohit G.