Laser nail correction. Price, what is it on the leg, arm, ingrown, as they do

Laser nail correction is a relatively new method removal of ingrown nail plate using a laser. An ingrown nail is a pathological process of its lateral part growing into the skin, accompanied by an inflammatory process.

Laser correction consists in removing part of the nail by evaporating part of the cells of the growth area with a laser device. After the procedure, the soft tissue around the nail remains intact. Prices for laser correction depend on the area of ​​the area being worked on and fluctuate between 3500-6500 rubles.

Indications for the procedure

The indication for nail correction is its ingrowth into soft tissues, which has arisen for various reasons:

• flat feet;
• heredity;
• metabolic disease;
• the use of narrow shoes of the wrong size;
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• incorrect removal of the regrown nail plate during hygiene procedures.

In addition to the ingrowth of the nail plate into the periungual roller, there are other indications for laser correction:

• serious damage to the nail with a fungal pathogen;
• detachment of the nail plate in severe injuries;
• change in the initial external characteristics of the nail.

Laser nail correction is required when the following symptoms occur:

• swelling of the tissues of the nail fold;
• redness of the skin;
• the presence of purulent discharge;
• painful sensations;
• thickening of the periungual roller.

Contraindications

Laser nail correction (the price depends on the region where the clinic is located) is a procedure that has a number of contraindications:

• blood clotting disorders;
• period of pregnancy and lactation;
• diabetes;
• individual intolerance to anesthetics;
• the presence of a pacemaker;
• trophic disorders;
• ARVI;
• increased body temperature;
• mental illness;
• the presence of a malignant tumor;
• acute inflammatory processes in the body.

Possible complications

Like any procedure, laser nail correction increases the risk of complications that can develop against the background of violations of medical recommendations.

These complications include:

• inflammatory process in the wound area;
• increased body temperature;
• bleeding of the operated area of ​​the foot;
• purulent discharge from the nail plate;
• possible relapse.

Training

Laser nail correction (the price depends on the degree of damage to the nail plate) is a procedure that does not require special training. At the request of the patient, it is recommended to do a salt bath at home before the operation and apply a clean gauze bandage to the ingrown nail.

An important point is the choice of comfortable soft shoes that will allow you to experience minimal discomfort after the procedure. If the ingrowth of the nail is accompanied by an infectious process, tests and an X-ray of the foot may be required.

Laboratory diagnostic methods before surgery include:

• General blood analysis - a detailed study of the qualitative and quantitative composition of blood, which allows you to study the amount erythrocytes, leukocytes, platelets, as well as determine the leukocyte formula and sedimentation rate erythrocytes. The analysis is necessary to identify a possible inflammatory process in the body. Venous or capillary blood is used as a biomaterial for research. The analysis period is 1 day. Cost - from 300 rubles.
  
• Sowing purulent discharge - a method for diagnosing soft tissue infections caused by pathogenic microorganisms. For the study, a sowing of a smear from a wound is used. It is placed on nutrient media with the further release of pathogens that provoked a purulent process. The analysis is performed in order to prescribe adequate antibiotic therapy. Research cost - from 1000 rubles.

Before laser correction, a consultation with a surgeon is required. The specialist will assess the features and condition of the problem area in order to select the optimal parameters of the laser beam.

Procedure step by step

There are 2 types of laser nail correction, each of which is used depending on the degree of damage to the nail plate. In this case, the course of the procedure does not differ.

Laser resection of an ingrown nail	Radical laser correction
Cutting off the lateral part of the ingrowing nail longitudinally from the base to the distal edge. The operation is performed when the cause of the ingrowth of the nail plate was a mechanical injury received earlier. Also in cases of the presence of an inflammatory purulent process.	Removal of the lateral growing part of the nail with a continuation on the nail roller, which makes it possible to penetrate to the growth nail zone.

The laser correction procedure is performed in a surgical room equipped with a laser device and consists of the following stages:

1. Treatment of the operating field with an antiseptic.
2. Pain relief with injections of anesthetics, which are placed on either side of the base of the finger. Anesthesia is performed with a carpool syringe with a fine needle 0.3 mm in diameter. After 2-3 minutes, the surgeon proceeds directly to cutting off part of the nail plate. The analgesic effect lasts for 1.5-2 hours.
3. Removal with laser radiation of granulation formations near the nail. At the same time, disinfection of the area being worked is taking place.
4. Excision of the ingrown part of the nail plate with a laser beam.
5. Removal of the remaining soft tissue affected by the inflammatory process.
6. Repeated antiseptic treatment and application of a sterile dressing.

The procedure uses a carbon dioxide laser. The operation takes 15 to 30 minutes. Parts of the nail plate and the inflamed process evaporate under the influence of laser beams without injury to the adjacent skin. With the help of a laser, small incisions are made in soft tissues with simultaneous coagulation of the capillaries. This allows you to minimize blood loss and disinfect infectious foci in the area of ​​inflammation in advanced stages of pathology.

Care procedures after

Laser nail correction (the price for removing the minimum part of the nail plate is about 3000 rubles) - an operation, after which the patient can return home and maintain a familiar image life. Since after the end of the effect of anesthesia, pain may occur, it is recommended to take painkillers for 2-3 days. Also, to accelerate the healing of an open wound, the patient is prescribed topical agents.

If the ingrowth of the nail was accompanied by severe inflammation and suppuration, antibacterial drugs are indicated. Bandaging is an important step in quick and comfortable wound healing. In severe cases, a consultation with a surgeon may be required within 3-5 days after surgery to monitor the wound.

Bandage application

The bandage applied by the surgeon should remain on the finger for 2 days after the operation. After this period, it is allowed to remove the bandage and take a light shower, avoiding steaming of the skin on the leg. After showering, the skin on your legs should be well dried and a sterile bandage should be applied on your own.

Before proceeding with the dressing, you should thoroughly wash your hands with soap and water. To apply a bandage, you must use a sterile bandage, gauze wipes and an antiseptic solution.

This could be:

• Chlorhexidine - an antiseptic agent that has a bactericidal and fungicidal effect. After application to the skin, it remains in the amount that is sufficient for the manifestation of a bactericidal effect. Remains active in the presence of blood or pus. The tool is used externally as applications or by irrigation. Cost - from 20 rubles.
  
• Hydrogen peroxide - antiseptic for external use. Upon contact of the substance with damaged skin, mechanical cleansing and a reduction in the number of harmful microorganisms occurs. The tool is used in the form of irrigation on an open wound. Cost - from 16 rubles.
• Prontosan - ready-made sterile solution for washing wounds based on polyhexanide and betaine. Has a wide antimicrobial spectrum of action. An open wound is washed with a solution before direct dressing is applied. The cost of the drug is from 123 rubles. for an ampoule of 40 ml.

When laser removal of an ingrown nail, a spiral bandage is used with fastening in the ankle area. The dressing is changed once a day for 7 days.

Medicines

After carrying out all the medical procedures, the patient may need drug therapy.

To eliminate postoperative pain, analgesics are used:

• Paracetamol - an analgesic that relieves inflammation and fever. The maximum concentration of paracetamol in blood plasma is reached 60 minutes after administration. To relieve pain, adults are prescribed 500 mg up to 4 times a day. The maximum duration of therapy is 3 days. Packing cost 10 pcs. - from 12 rubles.
• Ibuprofen - non-steroidal anti-inflammatory drug. It has the property of being completely absorbed in the digestive tract in a short time. The maximum concentration of the substance in the blood is reached 60-120 minutes after ingestion. Adults are prescribed in a dose of 200 mg 3-4 times a day. To achieve a quick therapeutic effect, a single dose can be increased to 400 mg. The maximum daily dose should not exceed 1200 mg. The duration of the drug intake is 5 days. Cost - from 110 rubles.
• Ketanov - NSAIDs with pronounced analgesic properties. It also has anti-inflammatory and moderate antipyretic effects. In terms of the strength of the analgesic effect, the agent is comparable to morphine. The analgesic effect is achieved 1 hour after taking the drug. The agent should be taken once or repeatedly, depending on the degree of pain syndrome. The maximum daily dose is 40 mg. Price - from 54 rubles.

For quick healing of soft tissues, local preparations are used in the form of ointments:

• Levomekol - a combined antimicrobial drug in the form of an ointment. Relieves inflammation and fights gram-positive and gram-negative microorganisms. The ointment is applied to sterile gauze napkins and applied to the affected area 1-3 times a day. The cost of the drug is from 120 rubles.
• Baneocin - antibacterial ointment containing 2 antibiotics - bacitracin and neomycin. The drug is used externally. The dosage regimen and duration of use depends on the severity of soft tissue damage. Cost - from 320 rubles.
• Levosin - a combined antimicrobial and anti-inflammatory drug. The ointment easily penetrates deep into soft tissues, providing a necrolytic effect. The drug is applied to sterile gauze napkins and applied to the wound 2 times a day. The duration of treatment is determined individually. The price of the ointment is from 84 rubles.

With extensive areas of damage after removal of the ingrown nail plate, antibiotic therapy is used. The use of antibacterial drugs after surgery allows you to prevent infectious processes that have arisen as a result of the intervention.

To prevent the development of infection, cephalosporins of the 1st and 2nd generations are prescribed, since they have a sufficient spectrum of bactericidal activity. For surgical wounds with signs of suppuration, combined therapy is prescribed.

The following drugs are commonly used:

• Gentamicin - a preparation in the form of a solution for intramuscular or intravenous administration, which has a bactericidal effect. Adults are prescribed 1.7 mg per kg of body weight 2-4 times a day. The maximum single dose can be up to 3-5 mg per 1 kg. The duration of treatment is 7-10 days. Cost - from 38 rubles.
• Oxacillin - an antibacterial drug from the group of semi-synthetic penicillins. The agent is used intramuscularly and intravenously. The dosage regimen for adults is 2-4 g per day. The duration of treatment is 7-10 days. Cost - from 45 rubles.
  
• Lincomycin - an antibiotic of the lincosamide group, which has a bactericidal effect. Adults are prescribed 500 mg of an antibiotic 3-4 times a day. The tablets should be taken orally with plenty of water. The duration of treatment is determined individually. The price of an antibiotic is from 134 rubles.

Care advice

Laser nail correction (the price depends on the degree of tissue damage) is a minimally invasive operation that requires strict adherence to the doctor's recommendations. The rehabilitation period takes 1-3 weeks, depending on how much of the ingrown nail plate has been removed.

During this period, it is recommended:

• change dressings regularly and keep them dry;
  
• exclude intense training, jogging and weight lifting for 2-3 weeks;
• give preference to soft, comfortable shoes with open toes for 2 weeks after surgery;
• refrain from visiting the sauna and pool for 1 month after surgery;
• in the first 3 days after the operation, raise the legs above the level of the head and fix in this position for 30-40 minutes;
• wear cotton socks;
• dressing with medical gloves;
• for 1-2 months, shoes should be worn that do not restrict movement and have a flat sole.

Physiotherapy

20 days after laser nail correction, you can start performing simple exercises that will stimulate blood flow and saturate tissues with oxygen.

Gymnastics includes the following movements:

• flexion and extension of the fingers with a delay in their extreme position for a few seconds;
• raising on "tiptoe" and returning to the starting position;
  
• active wiggling of the fingers while sitting or lying.

You need to do the exercises several times a day for 7-14 days.

How long will the result last

Laser nail correction is an effective operation that allows you to get rid of the problem after a single treatment. The efficiency of surgery is not influenced by the price, but by the accuracy of adherence to all the surgeon's recommendations. If during the rehabilitation period the patient neglected the basic rules of care and hygiene of the nail plate, a second operation may be required.

Relapse prevention

In order to preserve the result after the operation and prevent relapses, it is necessary:

• cut nails at right angles, stepping back from the root 1-2 mm, avoiding rounding the edges of the nail plate;
• choose comfortable shoes by size, not narrowing;
• monitor the hygiene of the feet, preventing the development of fungal infections;
• avoid mechanical injury to the nails.

Advantages and disadvantages

Laser nail correction has its advantages and disadvantages.

The advantages of minimally invasive surgery include:

• removal of the nail plate without affecting adjacent areas;
• removal of only the deformed part of the nail;
• minimal risk of infection and bleeding;
• simultaneous tissue disinfection;
• short duration of the operation;
• lack of severe pain due to the use of modern anesthetics;
• relatively short rehabilitation period;

  

• minimal risk of postoperative complications;
• surgery on an outpatient basis without the need for sutures;
• ensuring the natural growth of the nail plate without relapse.

The disadvantages of laser correction include:

• the presence of contraindications;
• relatively high cost;
• violation of the growth of the nail plate;
• deformation of the nail.

Laser nail correction is a relatively new method of dealing with an ingrown nail plate, which has an advantage over standard surgical intervention. The use of a laser significantly reduces the time of the rehabilitation period, avoids suturing and minimizes pain. At the same time, the operation has some disadvantages - a high price and the likelihood that the nail may not grow back or deform.

Video about laser nail correction

How is laser nail removal performed: