Which specialist performs nail surgery?

Nail surgery may be considered for an ingrown nail, a persistent nail growth, a damaged nail structure or a change that needs tissue sampling. The dermatologist first examines the nail plate, nail bed, folds and nearby skin. Treatment can involve lifting or removing part of the nail, treating the involved nail fold or taking a biopsy. The exact procedure depends on which structure is affected and whether the goal is relief, repair or diagnosis.

Bring information about injury, repeated manicures or pedicures, footwear pressure, fungal treatment and how long the change has been present. Mention diabetes, circulation problems, immune conditions, allergies and medicines that affect bleeding or healing. Keep the nail clean and avoid cutting deeply into an ingrown edge before review. Ask about local anaesthetic, dressings, footwear and how much time you may need away from usual activities.

Seek prompt assessment for severe nail pain, spreading redness, pus, fever, a dark streak that is widening or changing, bleeding, or a nail that lifts without a clear injury. After surgery, call the treating service about increasing pain, spreading warmth, discharge, fever, numbness or bleeding that does not settle with pressure. People with diabetes or poor circulation should seek advice early when a toe or finger wound appears.

Ask what structure needs treatment, whether a nail biopsy is needed, how much nail may be removed, how the specimen will be assessed and what regrowth may look like. Clarify dressing changes, washing, pain relief, footwear and the warning signs that should prompt a review.