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kin Procedures
Skin Procedures
In-Growing Toe NailIg Toe Nails

What is an ingrown toenail?

An ingrown toenail is a common condition that causes a great deal of pain, distress and even disability. It occurs when the toe nail pierces the skin of the toe resulting in pain, swelling, redness and infection.
It is most common in the big toes, but it can also affect the smaller toes. Ingrown toenails can present in a variety of ways. For example, in the early stages, there may be a little pain, redness and swelling. As the condition becomes more persistent, there can be chronic infection and the formation of excess skin called hyper-granulation tissue.

How do ingrown toenails occur?

The condition can be caused by a combination of many factors. An ingrowing toenail can occur as a result of normal nail that has been cut incorrectly, by wearing socks or shoes that are too tight or through damaging the nail. It can also occur in people with an abnormal nail shape. In this case, increased pressure on the nail leads to curvature, which causes it to dig in. This most often happens in adults.

How are ingrown toenails treated?

  • Conservative treatment

Where possible, we try and treat the problem with conservative measures. However,   more persistent ingrowing toenails may return in time and require further treatment. Where the nail consistently in-grows and becomes painful, a more permanent treatment may be required.

  • Surgical treatment of Ingrown toenails

Where conservative treatment has failed or isn’t appropriate, nail surgery is a safe, simple and effective procedure that can cure your painful ingrown toenail. This will allow you to walk pain free, wear the shoes you want to wear and to take part in the activities .In our centre we perform less invasive technique known as a wedge excision.

 What are the benefits of nail surgery?

  • Permanent cure to your problem
  • Pain reduction
  • Removes the cause of infection
  • Return to wearing normal shoes
  • Pain free procedure
  • Local anaesthetic, no fasting required
Partial nail removal is cosmetically acceptable

Are there any complications of nail surgery?

Like any procedure, there are some risks. Complications are very rare, and every care is taken to minimise them. These can include regrowth of the nail, wound infection, delayed wound healing, bone infection, post- operative pain and rarely people have an allergic reaction with the product used, specially with phenol.

The anaesthetic used is very safe but very rarely people have an allergic reaction with the local anaesthesia, please let our doctor know if you are allergy with any products or anaesthesia.

Significant post-operative bleeding is uncommon, however there can sometimes be signs of strikethrough bleeding though the dressing. It can also be helpful to elevate your legs and put your feet up to reduce any further bleeding.

There is a small risk of infection as, by removing the nail, we create a small wound.

The condition of your toe after surgery will be closely monitored, Even with the chemical removal of the nail bed, there is a small chance that the nail could regrow . Your doctor will apply the (chemical phenol) for the recommended exposure time to prevent regrowth while also being mindful of phenol burns and reducing any unnecessary damage to the surrounding skin.

Should I have a partial or total removal?

Whether you have the whole nail removed or just part of the nail depends on the extent of the ingrown nail. This can be discussed with the doctor and you will be advised which is likely to be more successful for your circumstances. A partial nail removal is more cosmetically appealing for most people.

How much does it cost?

The cost of nail surgery starts at £300 for one nail and £495 for 2 nails.

On the day of your Surgery

Our doctor will  do the clinical assessment and talk you through the nail surgery procedure, discussing the intended benefits, outcomes, potential risks or complications.

You will be also given a consent form to read, understand and sign is a very important component. We ensure you have all the information you need and fully comprehend the purpose of the nail surgery, before you sign the consent form.

We will ensure you fully understand the benefits and risks of the nail surgery and are happy to proceed and make sure that any questions you have are answered.

You could also bring a friend or family member into the room if you wish.

Firstly, the doctor will clean the area with antiseptic and the local anaesthetic will be administered to numb the affected toe, a tight band will be placed around your toe to minimise any bleeding. Next an antiseptic solution will be applied to your toe to minimise the chance of infection, adhesive film will be applied and the offending nail/piece of nail will be removed. To stop the nail from re-growing the chemical phenol will then be applied.

A protective dressing will be applied, and the operation is complete. The whole thing is over and done with from start to finish in around 45 minutes.

You will be advised about the analgesia if required and a follow up appointment will be arranged with you so that the doctor can assess and re-dress the toe.

Post-Operative Care

It is recommended following surgery that you go home and put your feet up, to minimise bleeding. It is also important that you do not drive until the local anaesthetic has fully worn off.

It usually takes around 4-8 weeks for the toe to heal completely. This varies between individuals, but it is important that you continue to clean and redress the toe until it is completely healed. The toe will need to be re-dressed every 2-3 days, and must be kept dry between times.


Don't Just Take our Word for it

Toby Haddock
Toby Haddock
13:06 19 Jan 22
I had a large non viral wart removed from my finger just before Christmas. It has now healed and there is no sign of... its return. I thought the service was excellent and I'm very pleased with the result. Thanks very much!read more
David King
David King
15:31 18 Jan 22
Looked online to find a local clinic that carried out minor surgeryPhoned and booked an appointment for 2 days later.... Very professional centre and was treated by a lovely lady surgeon who did an amazing job on my neckHad the stitches out yesterday and it’s healed up beautifully. Well impressedDefinitely recommendread more
Raghu Viswanathan
Raghu Viswanathan
20:19 31 Dec 21
Mom had a long-standing issue with her right earlobe damaged due to her previous piercings. Dr Rizvi and the other... staff were very professional and polite during Mom’s main surgery (minor) and follow up appointments to remove the stitches. We are very satisfied with the surgical results and the care provided and will certainly go back to First Health Medical if the need more
Sarah Denley
Sarah Denley
15:00 23 Dec 21
Had Morpheus 8 with Dr Rizvi, which I would recommend very highly. Dr Rizvi is highly professional and extremely kind... and puts you at ease and explains the procedure. Skin tightening procedure which although a bit uncomfortable, very bearable and other than a bit of redness no other after effects. The results are fantastic, my skin is thicker and my jawline a lot firmer. I would recommend the clinic most more
afcbrad gooner
afcbrad gooner
20:55 20 Dec 21
Dr Fouzia was very efficient, professional and patient! Normally I am very squeamish but she made the experience very... calming. Justyna in reception was lovely too, very nice girl. Would recommend!!read more
Livia Gorcsosova
Livia Gorcsosova
20:48 02 Dec 21
Dr Rizvi has been absolutely superb, very knowledgable, friendly and helpful. However the lady at the reception Justina... has been very unprofessional. I have paid the asked amount at the reception and after I left the surgery she phoned me to return back to the surgery and pay the remaining £25 as she undercharged me, she was saying it like I was suppose to know the correct amount. I wouldn’t expect this kind of service from a private surgery. Very more
desline Dee
desline Dee
10:23 17 Nov 21
I used the service to have fillers. Very impressed with the sensitive professional care I received. Dr Rizvi carried... out the procedure. She explained in detail what was involved, and ensured my comfort at all times. I'm very happy with the outcome. I feel I'm looking very fresh and natural...more like my old self which I haven't seen in more
Linda Goldsmith
Linda Goldsmith
08:41 16 Nov 21
I would highly recommend this clinic.Dr Rizvi makes you feel at ease, I am very happy with the results of the... treatments I have more
Tuli Vinny
Tuli Vinny
22:02 01 Nov 21
I used the clinic last week to have a mole removed from my face. Dr. F.Rizvi carried on the procedure. I was very... satisfied the way she explained the procedure to me,she was very clear and very friendly at the same time,she made me feel at ease as I was a bit scared. Over all I was very satisfied with the service and the outcome of the operation. Definitely recommend this more
Lucian de Lima Silva
Lucian de Lima Silva
13:35 16 Oct 21
The service at this establishment was very good and very professional. Dr Risvi made me feel comfortable and was very... efficient in the diagnosis and on the treatment given. Nothing to complaint, I would definitely return to this establishment in the future if more
Keith Hazell
Keith Hazell
17:44 11 Oct 21
My first visit and delighted by the care and reassurance I received before, during and after my minor surgery. I will... certainly return. Highly recommended and completely more
Martin Element
Martin Element
11:23 17 Sep 21
Incredible treatment and wonderful staff.Had sebaceous cist removed. Highly professional and talked me through it.... Painless procedure and very successful outcome..No hesitation in recommending. A perfect solution for treatments not available on the NHS.Very happy with cost which was transparent and agreed before more
Laurence Groom
Laurence Groom
22:07 17 Jul 21
What can I say about Dr. Rizvi. I read some of her outstanding reviews before meeting her but having had a session to... remove a couple of moles I can tell you words cannot do her justice.She is obviously highly skilled but also creates such a warm and caring atmosphere. You feel completely looked after and you can tell this comes from a place of her wanting to use her talents to help people in the best way she can. She truly is an incredible woman and I can’t recommend her enough!read more
Louisa Martinez
Louisa Martinez
12:05 15 Jun 21
What a wonderful caring sweet doctor. Professional and knowledgeable. I felt comfortable and respected. I was given... clear honest answers when I had questions. For the first time ever I was looking forward to seeing a doctor for the second time for stitches removal. I would highly recommend first health medical. The staff are all so friendly and accommodating. I’m still in awe with the doctor, she was just such a lovely woman with positive and warm energy, I felt in safe hands when I was having minor surgery. I can not praise this centre enough!read more
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