Experts remind us to pay attention to these details. Nail beautification is too frequent and toenails are cut too much. Ten nail clinics open full moon surgery | nail bed | clinic
"Thank you Director Liu for helping me solve a big problem! I've been struggling with paronychia for two years. I had to pull out my toenails twice before, but they didn't grow well. I kept getting inflamed and my mentality was about to collapse. This time, the problem has finally been completely solved." In the outpatient consultation room of the Tenth People's Hospital of Shanghai, Miss Zhang expressed her sincere gratitude to Liu Guangpeng, the director of plastic surgery.
At the beginning of 2021, Xiaozhang accidentally cut his toenails too deep, injuring the nail bed. Although he disinfected it with iodine at the first time, he didn't expect to become inflamed a few days later. His entire first toe was red, swollen, and painful, and he even limped while walking. External use of iodine is ineffective, oral antibiotics are ineffective, and the only option is to choose toenail removal that sounds very painful. I originally thought that pulling out my toenails would remove the old and make a new look, but I never expected that the newly grown toenails would always "burrow into the flesh", causing inflammation to recur and the toes to become very unsightly. However, all of this is just the beginning. Not long after, inflammation made a comeback, and the previous process was repeated. And this time, luck seems to be even worse, as the infection persists and the toenails and toes become increasingly ugly
After this year's Dragon Boat Festival, Xiao Zhang immediately hung up when he learned that the plastic surgery department of Ten Hospitals had opened an outpatient clinic for nail diseases, which could solve treatment and plastic surgery problems in a one-stop manner. In response to the severe damage to the nail bed, Liu Guangpeng gave up the commonly used "overall nail removal surgery" in surgery and instead implemented "partial nail removal surgery+correction of soft tissue flap around the nail" from the perspective of a plastic surgeon. In this way, it not only removes necrotic tissue caused by long-term inflammation, but also maximizes the regular repair of toenails and local skin, avoiding the recurrence of ingrown nails and excessive proliferation of connective tissue during the inflammation repair process.
After nearly a month of recovery, Xiaozhang finally bid farewell to the two year long problem of paronychia. Not only has the inflammation completely subsided, but the originally bumpy nail bed and the hideous skin around the nails have also completely recovered. She can now wear sandals confidently again.
Although the nails are small, there are many troubles. Since its establishment on June 25th this year, the specialized nail disease outpatient department of the Plastic Surgery Department of Ten Hospitals has received dozens of patients. In addition to patients like Xiao Zhang who have experienced prolonged paronychia, beautiful women who have suffered damage to their nails, nail beds, and soft tissues around their nails due to improper nail art are also the main patient group in the nail disease outpatient department.
Xiao Li, a college student who is very obsessed with nail decoration, is a regular customer of a nail salon and visits on average once a week. Frequent use of organic solvents such as acetone to clean the ornaments attached to her nails caused significant damage - deformation, brittleness, cracking, roughness... At first, she thought that as long as she stopped doing manicures and waited for the old nails to gradually grow before cutting them off, the new nails would be able to return to their original state. However, due to damage to the nail bed and surrounding soft tissues, the newly formed nails still look repulsive.
Being too shy to reach out has troubled Xiao Li's daily learning and life. After several inquiries, she came to the nail clinic for help. Liu Guangpeng formulated a comprehensive treatment plan for her - to remove the damaged nails under nerve block anesthesia, and then perform a soft tissue flap repair surgery around the nails, providing a flat, beautiful, and healthy growth "soil" for the new nails. Unlike a simple "one pull" procedure, skin flap repair not only allows the nails to grow and grow healthy, but also looks beautiful.
Of course, the nail clinic is not only focused on nail art and plastic surgery needs. A week ago, Liu Guangpeng received a patient named Ms. Wang who had vertical black brown stripes under her nails. Her initial request was just to "whiten" the ribbon, but Liu Guangpeng immediately noticed the huge hidden risk - malignant melanoma! Sure enough, the postoperative pathology confirmed the doctor's diagnosis, but fortunately, the treatment was timely and the patient is still in the stage of in situ cancer.
"Nails are skin accessory tissues that grow on the fingertips and are easily affected by various pathogenic factors in the environment. Their shape, color, texture, and other factors are closely related to the overall health condition. When nails obstruct the view, it is not only necessary to consider from the perspective of cosmetic surgery, but also to pay attention to the hidden health risks behind them." Liu Guangpeng reminds that "in addition to bacterial infections that may cause inflammation, nails are also susceptible to fungal invasion, resulting in decreased transparency, rough texture, and increased thickness of the nail plate. In this case, simply scraping off the diseased nail with physical methods cannot fundamentally solve the problem. Antifungal drugs should be used locally or even throughout the body. In addition, changes in the appearance of nails may also indicate certain systemic diseases, for example." The nail plate is concave in the center and raised around, like a small spoon, which is called "spoon shaped nail" or related to severe anemia, endocrine diseases, etc; If the nails show certain special colors, in addition to melanoma, it may also indicate the presence of lesions in the liver, kidneys, etc. A comprehensive examination should be conducted in a timely manner to detect potential problems.
