Nail Surgery

End the pain of an ingrown toenail — for good

A safe, routine procedure performed in under an hour. Local anaesthetic, minimal downtime, and the option of a permanent fix so it never comes back.

Understanding the ingrown toenail

An ingrown toenail happens when the edge of the nail grows into the surrounding skin instead of over it. Left untreated, it can become painful, inflamed, and infected — but it's very treatable.

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1

Most common in the big toe

The nail edge curves or grows downward, cutting into the nail bed on one or both sides — causing pain that ranges from mild to debilitating.

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Multiple causes, one solution

Whether it's genetics, curved nails, tight shoes, or how you cut your nails — our podiatrists get to the root of it and fix it properly.

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A permanent fix is possible

With phenolisation, we can prevent the nail from ever growing back in that spot — giving you lasting relief with around 90% effectiveness.

What's behind your ingrown toenail?

Ingrown toenails can be caused by a range of factors. Understanding the cause helps us choose the right treatment — and prevent them from coming back.

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Genetics

Naturally curved or involuted nails run in families. If your parents had ingrown toenails, there's a good chance you will too.

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Restrictive Footwear

Tight, narrow, or ill-fitting shoes compress the toes and push the nail into the surrounding skin over time.

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Incorrect Nail Cutting

Cutting nails too short or rounding the edges encourages the nail to grow into the skin rather than forward and clear.

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Involuted (Curved) Nails

Nails with excessive curvature naturally create pressure on the nail bed, making ingrowth more likely — especially under load.

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Picking or Tearing Nails

Onychophagia — picking or tearing nails rather than cutting them — leaves jagged edges that catch and dig into the skin.

Trauma to the Nail

A stubbed toe, dropped object, or repeated microtrauma (like running) can alter how the nail grows going forward.

What to know before your appointment

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Wear open-toe shoes to your appointment — you'll need them for the dressing after the procedure.

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Arrange a lift home — it's advisable not to drive following an anaesthetic to the toe.

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Plan to rest at home post-procedure, with your foot elevated where possible. No big plans for the afternoon!

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Blood thinners? Please let your podiatrist know before the procedure — important for your safety.

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For post-op pain, Panadol is recommended. Avoid aspirin — it can increase bleeding.

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Pick up your supplies beforehand: warm water, salt, Betadine antiseptic, and sterile dressings.

Step by step — what happens on the day

The whole procedure is generally completed in under an hour. Here's exactly what to expect — no surprises.

1

Local Anaesthetic

The most uncomfortable part — a small needle injects local anaesthetic into both sides of the toe to make it completely numb. The numbness lasts approximately 1–3 hours. Once numb, you won't feel a thing.

2

Tourniquet Applied

A small rubber band is placed at the base of the toe to reduce blood flow to the area during the procedure — making everything cleaner and safer.

3

Nail Edge Removed

Using specialised instruments, the nail is separated from the nail bed. Depending on your situation, we remove just the impinging edge (partial nail avulsion) or the entire nail (total nail avulsion). The nail is cut down and removed from the base.

4

Phenolisation (If Required)

If we're opting to prevent regrowth, a chemical called phenol is applied to the nail matrix (the base where the nail grows from). This is approximately 90% effective at stopping that section of nail from growing back permanently.

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Tourniquet Removed & Toe Dressed

The rubber band is removed to restore blood flow. The toe is then dressed with sterile bandages and antiseptic. You'll walk out in your open-toe shoes, good to go.

Being upfront about the risks

Nail surgery is a safe, routine procedure — but like any minor surgery, there are possible side effects to be aware of. Your podiatrist will discuss these with you before you consent.

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Nail Re-growth

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Infection

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Post-op Pain

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Nail Distortion

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Phenol Burn

Post-op care — keeping things healing nicely

Good aftercare is what separates a smooth recovery from a frustrating one. Follow these steps daily until your review appointment with your podiatrist.

What You'll Need

  • Warm water + 2 tablespoons of salt
  • Betadine (or alternative antiseptic)
  • Sterile dressings (preferably not plastic bandaids)

Daily Instructions

  • Soak the toe in warm salt water for 10–15 minutes
  • Pat dry gently with a clean towel — don't rub
  • Redress using Betadine and a sterile dressing
  • Repeat every day until your review with your podiatrist

Transparent pricing

No hidden fees. No surprises on the day. Here's exactly what nail surgery costs at Sole Podiatry.

Nail Surgery Fees

Partial Nail Avulsion (PNA) — 1 toeHICAPS code 546
$430
Additional Toe
$170
Total Nail Avulsion (TNA)HICAPS code 440
$480
Local Anaesthetic InjectionHICAPS code 411
$45
Re-dressing Appointments Standard or Brief Fees

💳 Private Health Rebates

Many private health funds cover a portion of nail surgery costs. We process HICAPS on the spot so you only pay the gap. Bring your health fund card on the day.

🩹 Follow-up Dressing Appointments

Re-dressing appointments are available as required and billed at standard or brief appointment rates. Your podiatrist will advise how many you'll need based on your healing progress.

Ready to sort that toe out? 🦶

Our team is happy to answer any questions before you commit to anything.

Pascoe Vale
Keilor East
Essendon