Nail Surgery
Ingrown nails, tumours and nail pigment addressed definitively.
The nail unit needs specialist surgical handling. It hosts ingrown nails, glomus tumours, warts, cysts and — importantly — pigmented streaks that may represent subungual melanoma.
- Digital block
- Anaesthesia
- 30–45 min
- Duration
- Same day
- Walking
- 6–12 mo
- Regrowth

- Partial nail avulsion
- Chemical matricectomy
- Nail unit biopsy
- Subungual lesion excision
Diagnosed first, treated second.
Techniques range from partial nail avulsion with chemical matricectomy for recurrent ingrown nails, to nail unit biopsy for a pigmented band. All are performed under digital block with the nail's future appearance protected.
- 01Partial nail avulsion
- 02Chemical matricectomy
- 03Nail unit biopsy
- 04Subungual lesion excision
- 05Post-operative nail care
- Painful recurrent ingrown toenails
- A dark streak within a nail
- Nail deformity after injury
- A lump beneath the nail plate
- Chronic infection at the nail fold
How the treatment works
A sequence, not a single appointment — each step informs the next.
- 01
Diagnosis
Nail dermatoscopy assesses pigment, deformity and any underlying lesion.
- 02
Digital block
The toe or finger is fully anaesthetised for a painless procedure.
- 03
Procedure
Avulsion, matricectomy, biopsy or lesion excision as the diagnosis requires.
- 04
Regrowth care
Dressings and review through the months of nail regrowth.

Results measured, not promised.
What to expect
- 01Recurrent ingrown nails permanently resolved
- 02Pain relieved immediately
- 03Nail pigment definitively diagnosed
- 04Subungual melanoma excluded or caught early
- 05Nail appearance preserved wherever possible
Begin with a diagnosis,
not a guess.
Share a few details and the clinic will reply with available consultation times for nail surgery — one-to-one with Dr. Arely.
- Response
- Within 24 hours
- Consultation
- One-to-one, 45 min
- Assessment
- Trichoscopy included
- Location
- Dr. Arely Clinic
Frequently asked
A digital block numbs the whole digit; the procedure itself is painless.
Usually yes. With matricectomy, the treated portion is intentionally narrowed to prevent recurrence.
To exclude subungual melanoma, which can present exactly that way.
Yes, same day, in open or wide footwear for the first week.