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February 10, 2012

Ingrown Toenail (cont.)

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What types of nail surgery are used for ingrown toenails?

Minor ingrown toenails may require simply trimming back the protruding nail sliver or piece away from the nail fold. More aggressive, debilitating cases may require a minor surgical procedure called partial nail matricectomy. Surgery should be considered as last resort after conservative local treatments have failed. Nail surgery may cause permanent nail deformity, poor cosmetic appearance, and other possible complications.

Matricectomy is the process of surgically, chemically, or electrically destroying all or part of the base nail portion called the nail matrix. Complete destruction of the nail matrix results in permanent loss of that portion of the nail. Once the nail matrix is fully removed or destroyed, a new nail plate cannot ever be regenerated. This surgical procedure is commonly curative for recurrent cases of ingrown toenails. Often, only the lateral (side) 1/3 or 1/4 of the affected nail is removed in matricectomy. Much less commonly, both sides of the nail matrix are removed (bilateral matricectomy) or the entire nail matrix is removed (complete matricectomy).

Must I have surgery?

Surgical treatment is usually reserved for severe or recurrent cases of ingrown toenails. Surgery is not commonly required in most instances. If you keep getting an ingrown toenail, then a minor surgical procedure may be helpful to prevent recurrences.

How can I prevent ingrown toenails from recurring?

Recurrent ingrown toenails may be preventable by wearing wider-toe shoes and avoiding trauma and repeated injury to toenails. Further measures include protecting toes during sports and avoiding curving or overcutting toenails too short at the edges.

Ingrown Toenail Do's

  • Do wear wider toe shoes.


  • Do avoid repeated injury to toenails.


  • Do protect toes during sports.


  • Do maintain good foot hygiene.


  • Do cut toenails straight across.


  • Do keep toenails trim and clean.

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