Frequently Asked Questions
Will I be awake during the procedure?
Yes.
Most ingrown toenail procedures are performed under local anaesthetic while you remain awake.
Because the toe is numb, you should not experience pain during the procedure.
Many patients are surprised by how relaxed the experience is.
Will I be able to drive home?
In most cases, yes.
Many patients drive themselves home after the procedure.
However, this depends on which foot has been treated, the type of footwear worn afterwards, your ability to safely control the vehicle and whether any sedative medication has been used.
If you have received nitrous oxide, you should follow the advice given by your treating doctor regarding when it is safe to drive.
If you are unsure, arranging someone to drive you home is often the safest option.
How much of my nail is removed?
Usually only the narrow strip causing the problem.
The majority of the nail remains untouched.
This is why the cosmetic appearance after healing is often much better than patients expect.
Will my nail look abnormal afterwards?
Usually not.
Following a permanent partial nail procedure, the nail is simply a little narrower.
Most people who see your toe afterwards will not notice any obvious difference unless it is specifically pointed out to them.
Can both sides be treated?
Yes.
If both borders of the nail are ingrown, both sides can usually be treated during the same procedure when appropriate.
The decision depends on your individual circumstances and the appearance of the nail.
Can more than one toe be treated?
Yes.
Multiple toenails can often be treated during the same appointment when clinically appropriate.
Your clinician will discuss whether this is suitable based on your medical history, expected recovery and ability to mobilise comfortably afterwards.
Can the whole nail be removed?
It can, but this is rarely necessary.
Removing the entire toenail is generally reserved for specific situations where partial procedures are unlikely to be successful or where other nail diseases are present.
For the vast majority of ingrown toenails, removing only the affected edge provides an excellent outcome while preserving the appearance and function of the nail.
Will the ingrown toenail definitely never come back?
No medical procedure can honestly guarantee a 100% success rate.
Permanent partial nail procedures have excellent long-term success rates, but a small number of patients may experience recurrence if a tiny portion of the nail matrix survives and continues producing nail.
Fortunately, recurrence after a properly performed permanent procedure is uncommon.
Can children have the procedure?
Yes.
Children and teenagers commonly undergo partial nail avulsion when conservative treatment has failed or repeated ingrown toenails occur.
The treatment plan is always tailored to the child's age, maturity and individual circumstances.
Is there an age limit?
No.
The procedure can be performed safely across a wide range of ages provided the patient's overall health and medical history are carefully considered.
Evidence Update
Patient education before minor procedures has consistently been shown to reduce anxiety, improve satisfaction and help patients better understand the expected recovery process.
Patient Tip
Write down any questions before your appointment. Patients often remember concerns at home but forget them once they arrive at the clinic.