Nail Excision Surgery in Hyderabad

Are you suffering from persistent pain, redness, and swelling caused by an ingrown toenail? Or do you have other nail conditions requiring surgical intervention? Nail excision surgery encompasses various procedures performed on the nail unit to treat conditions like chronic ingrown nails, certain nail deformities, or to biopsy/remove suspicious growths. At Dr. Nishita’s Clinic in Hyderabad, Dr. Nishita performs nail surgeries under local anaesthesia to alleviate pain, treat underlying issues, and restore nail health.

Understanding Nail Excision Surgery

This term covers procedures involving the partial or complete removal of the nail plate, and sometimes modification of the nail matrix (the tissue the nail grows from) or surrounding tissues. Common reasons include:

  • Ingrown Toenail (Onychocryptosis): The most frequent indication. Surgery aims to remove the embedded nail edge and often involves procedures to prevent recurrence.
  • Nail Biopsy: Removing a small piece of the nail plate, nail bed, or matrix to diagnose conditions like fungal infections, inflammatory diseases (psoriasis, lichen planus), or suspected tumours (benign or malignant).
  • Removal of Nail Unit Tumours: Excising benign growths (e.g., glomus tumour, fibroma) or malignant lesions (e.g., melanoma, squamous cell carcinoma) arising in the nail apparatus.
  • Severe Fungal Infections: In rare, resistant cases, temporary nail removal (avulsion) may facilitate treatment of the underlying nail bed.
  • Traumatic Nail Deformities: Correcting certain deformities resulting from injury.

Common Nail Surgery Procedures Performed

Removal of only the edge of the nail plate that is growing into the skin (common for ingrown nails).

Complete removal of the nail plate.

Destruction or removal of a portion (or rarely, all) of the nail matrix to permanently prevent nail regrowth in that specific area. This is often done chemically (e.g., with Phenol) or surgically alongside partial avulsion for recurrent ingrown toenails.

Surgical removal of tissue samples for diagnosis.

The Nail Surgery Procedure (Example: Ingrown Toenail)

Performed as an outpatient procedure in the clinic:

Examination of the nail, discussion of the problem, confirmation of the need for surgery, explanation of the procedure, risks, benefits, and aftercare.

The affected toe/finger is thoroughly cleansed. Local anaesthetic is injected at the base of the digit (digital block) to numb the entire area completely.

A band may be placed around the base of the digit to control bleeding during the procedure.

  • The ingrown edge of the nail is carefully separated from the nail bed and removed (partial avulsion).
  • If matrixectomy is planned (for recurrence prevention), the corresponding portion of the nail matrix is destroyed chemically (e.g., applying phenol solution) or surgically excised.
  • The area is thoroughly cleaned.

A bulky, absorbent dressing is applied.

Typically 30-60 minutes.

Post-Procedure Care

  • Keep the foot/hand elevated as much as possible for the first 24-48 hours.
  • Pain medication may be prescribed or recommended.
  • Follow instructions for dressing changes, soaking (often starting after 24-48 hours), and application of antibiotic ointment.
  • Wear open-toed or loose-fitting shoes initially.
  • Healing time varies depending on the procedure (e.g., simple avulsion vs. matrixectomy), typically taking several weeks. Follow-up appointments are necessary.

Our Approach to Nail Surgery

Determining the precise cause of the nail problem to ensure surgery is the appropriate treatment.

Ensuring the procedure is performed painlessly with effective local anaesthesia.

Utilizing techniques like matrixectomy for chronic ingrown nails when indicated.

Maintaining strict surgical hygiene.

Providing detailed instructions for wound care and optimal healing.

Why Choose Dr. Nishita’s Clinic for Nail Surgery?

  • Expert Dermatologic Surgeon: Dr. Nishita is skilled in diagnosing and surgically managing various nail conditions.
  • Focus on Pain Relief & Resolution: Effectively treating conditions like painful ingrown toenails.
  • Techniques to Minimise Recurrence: Employing matrixectomy where appropriate.
  • Safe & Sterile Clinical Environment: Ensuring procedures are performed safely.
  • Comprehensive Nail Care: Offering both medical and surgical solutions for nail problems.

Before & After Stories

Feedback from our patients

I recently visited this clinic for a nail removal procedure and was thoroughly impressed with the care and attention I received. The doctors and staff were friendly, gentle, and professional, making me feel completely at ease throughout the process
Anil Tiwari

Frequently Asked Questions (FAQs)

The local anaesthetic injection stings briefly, but the surgery itself is painless. Post-operative pain is usually manageable with elevation and pain medication for the first few days.

You’ll need to limit activity and keep the area clean and dressed for typically 1-3 weeks, depending on the extent of the surgery. Complete healing takes longer. You can usually walk immediately, but rest and elevation are advised initially.

After partial or total nail avulsion without matrixectomy, the nail will usually grow back, which takes several months (longer for toenails). If a matrixectomy is performed on a portion of the matrix, that part of the nail will not regrow, effectively narrowing the nail permanently to prevent recurrence of ingrowth.

This is a common technique used after removing an ingrown nail edge. Phenol, a chemical agent, is applied to the nail matrix in that specific corner to destroy it and prevent that section of nail from regrowing, thus preventing recurrence of the ingrown nail.

Surgery is often recommended for recurrent ingrown toenails, severely painful or infected ingrown nails, or when conservative measures (like proper trimming, soaking, cotton wisp packing) have failed.

Find Relief from Nail Problems: Book Your Consultation

If you’re suffering from a painful ingrown nail or other nail condition potentially requiring surgery, schedule a consultation with Dr. Nishita.

Reach Us

Visit us in Banjara Hills, Hyderabad
Call or WhatsApp: +91 93812 19187
Monday to Saturday | 10:00 AM – 7:00 PM

Get expert surgical care for your nail conditions.

Get In Touch

Let's solve this together. Our expert team is waiting to assist you. Call us on: +91 93812 19187 or Write to us here:

Contact Us
Treatments
Please pick your preferred Date and Time for an appointment, and we will call you with a confirmation of availability: