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nailtech770

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Greetings.

I have come across quite a few of these and must wonder what you do when a client comes in with what looks to be an ingrown toenail. I am not talking about the ones on the top you can clip off but rather, the ones one the side which seem to be leaving a swollen side wall.
 

Trinity

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Greetings.

I have come across quite a few of these and must wonder what you do when a client comes in with what looks to be an ingrown toenail. I am not talking about the ones on the top you can clip off but rather, the ones one the side which seem to be leaving a swollen side wall.
Nothing, refer to a podiatrist/chiropodist
 

nailtech770

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Nothing, refer to a podiatrist/chiropodist
True thing. But I suppose I am meaning people who need to go to the podiatrist, get the small surgery, and then later come back for a pedicure or a total reconstruction? I should have made this quite a bit clear in the OP.
 

Trinity

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True thing. But I suppose I am meaning people who need to go to the podiatrist, get the small surgery, and then later come back for a pedicure or a total reconstruction? I should have made this quite a bit clear in the OP.
Not sure understand the question. You wouldn't be working on unhealed surgery areas anyway, so once healed it's business as usual. With regard to reconstructing parts of a missing nail there is plenty that can be done with whichever extension product you are trained in.
 

Amber5748

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If the nail that was ingrown is still causing swelling or redness at the sidewalls then the client needs to return to the chiropodist/podiatrist.
 

nailtech770

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If the nail that was ingrown is still causing swelling or redness at the sidewalls then the client needs to return to the chiropodist/podiatrist.
Thanks. Yes, let me clarify. I was attempting ambiguity but I suppose we are on a professional forum. The client went to the podiatrist to get approximately 1/4 of the nail from the sidewall down into the matrix removed due to swelling. The nail was not infected but clearly, now she has an open wound which I will not touch. She says the doctor said the wound healing will be 4-6 weeks. I would want to make sure it is healed first and foremost before I do anything. However, she is requesting a mold it once the wound is healed. I do not want to stifle the growth, and am unsure if this is advisable. Has anyone had any experience with this to proceed?
 

librium

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Hi there nailtech770 there is a lady that I have been watching on YouTube for a while she goes by the name the meticulous manuurist she is fully qualified I really do recommend her she deals with lots of issues that people have with there nails she may help you with those tricky answers your looking for and she may even add to your services.


Wish you and your client the best.
 
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nailtech770

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This is the kind of thing I was looking for.
 

librium

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You are most welcome she is so good I love her. Happy watching lost of videos to watch I apply a lot of what she does in my services and my clients love it. 😉👍
 

nailtech770

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You are most welcome she is so good I love her. Happy watching lost of videos to watch I apply a lot of what she does in my services and my clients love it. 😉👍
Strangely enough, I never did a reconstruction on toenails and now I am being bombarded with them. I am a bit concerned about the ingrown after the surgery as I wonder if there will be enough nail to cling onto. I am also concerned it can cause a recurrence on this ingrown. I am going to do more research.
 

Trinity

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Strangely enough, I never did a reconstruction on toenails and now I am being bombarded with them. I am a bit concerned about the ingrown after the surgery as I wonder if there will be enough nail to cling onto. I am also concerned it can cause a recurrence on this ingrown. I am going to do more research.
If you're unsure I would suggest some training before attempting anything. Not sure whats available in your area but here in the UK there areca couple of suppliers who offer specific reconstruction training.
 

nailtech770

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If you're unsure I would suggest some training before attempting anything. Not sure whats available in your area but here in the UK there areca couple of suppliers who offer specific reconstruction training.
Yes, I am unsure. This is a good suggestion. I will not work on it until I receive this training. I am still a little unsure about working on a toenail after it has recovered from a partial avulsion ingrown toenail surgery. I live in the the US, so unfortunately, that specific suggestion is not an option but I will surely look into it. Was this a part of your general training? I am feeling as if I am missing something. Has everyone on here worked on these types of nails and received training to do so?
 

Trinity

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Has everyone on here worked on these types of nails and received training to do so?
Don't know about everyone but I have, there's a few pedi specialist on here too

 

nailtech770

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Don't know about everyone but I have, there's a few pedi specialist on here too

I am looking into the training and filled out the enquiry form. Perhaps they teach the protocol in this course. Do they? If not, do you so happen to know?

As far as protocol is concerned, do you request a doctor's note before working on one? She sent me an image via text and right now, it is freshly bloodied up on the nail bed by the sidewall. About 3/4 of the nail from the tip to the end has been removed all the way down to the matrix. I want to protect her confidentiality so I will not be posting images on this site of the injury. Nonetheless, I refuse to touch anything that could potentially cause infection or increase risk of infection. She told me it was a partial avulsion procedure. I would like to learn about the legal procedures, as well as the skill of working on it.
 

Trinity

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I am looking into the training and filled out the enquiry form. Perhaps they teach the protocol in this course. Do they? If not, do you so happen to know?

As far as protocol is concerned, do you request a doctor's note before working on one? She sent me an image via text and right now, it is freshly bloodied up on the nail bed by the sidewall. About 3/4 of the nail from the tip to the end has been removed all the way down to the matrix. I want to protect her confidentiality so I will not be posting images on this site of the injury. Nonetheless, I refuse to touch anything that could potentially cause infection or increase risk of infection. She told me it was a partial avulsion procedure. I would like to learn about the legal procedures, as well as the skill of working on it.
You need to speak to your insurance company to find out this information
 

jlsdds

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I’ve used LCN for years. A client brought her own with her when she moved to her summer home. And that’s how I got introduced. A really expensive product. But glass smooth and clear. They have several whites from which to choose.

Here’s the thing...you will be applying raw material to skin. This isn’t a good idea according to the experts. I will admit to using acrylic to refashion toenails, but I use a barrier (oil) on the skin. You can float the nail from the remaining plate to the desired length. I’ve also used a tip and overlay.

Manufacturers try to find a niche and fill it fast. Just because one can doesn’t mean one should. Just sayin’
 

nailtech770

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I’ve used LCN for years. A client brought her own with her when she moved to her summer home. And that’s how I got introduced. A really expensive product. But glass smooth and clear. They have several whites from which to choose.

Here’s the thing...you will be applying raw material to skin. This isn’t a good idea according to the experts. I will admit to using acrylic to refashion toenails, but I use a barrier (oil) on the skin. You can float the nail from the remaining plate to the desired length. I’ve also used a tip and overlay.

Manufacturers try to find a niche and fill it fast. Just because one can doesn’t mean one should. Just sayin’
I am thinking the tip and overlay may be needed. She is missing a large percentage of her nail.
 

Amber5748

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It's winter so feet are generally covered up. If she was my client I would advise that she just leave it to grow out? As by the time she will he wearing sandals or open toed shoes it should have grown to the end of her free edge, so can be treated the same as her other toe nails.
 

nailtech770

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It's winter so feet are generally covered up. If she was my client I would advise that she just leave it to grow out? As by the time she will he wearing sandals or open toed shoes it should have grown to the end of her free edge, so can be treated the same as her other toe nails.
Nonetheless, it is her great toe so she is looking at 9-12 months for growth. Her nail from the free edge to the base was removed about 1/4 deep. I can paint the small nail they left but she would not be content with that. We have an appointment in March so I will have to look at it and make the call then.

I do not want to breach confidentiality of the client but if you google partial nail avulsion you should be able to see images of what I am trying to describe.

This image may be of help. It is a cartoon so it is a whole in a hell lot viewer friendly then what she had sent me via text messages.

 

jlsdds

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I don’t think the nail will ever be able to match the original, even with acrylic. It will be more narrow obviously. The side skin will take the place of the nail bed along the missing side. Unless the Dr. treated the matrix very well, there is a possibility of a partial regrowth of the nail. It’s just a matter of getting used to the new nail. Personally, I would rather that than wrinkles!
 

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