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Is there a surgical procedure to replace damaged/missing toenails?
Section:  Foot Conditions

I have been trying to research online with very little accurate results. For someone who has had their toenails removed or permanently damaged, are there any procceedures that are currently being done to surgically implant a permanent replacement toenail for aesthetic purposes? 

MEMBER COMMENTS
RE:

I have had some patients ask me about this.  There is a technique of transferring nail bed to the affected toe however at the expense of morbidity at the donor site.  I could not understand a good reason to do so in the feet.  Patients mainly request this for cosmetic nail problems in the hand.  This technique may be found in a textbook I believe textbook of nail surgery.  I dont know if it is still in print. 

RE:

I actually had the aforementioned procedure performed on my right ring finger as a child for a crush injury to the nail and nail bed.  A plastic surgeon transplanted the lateral half of my right hallux nail to the affected finger nail. The results are sub-par to say the least with chronic deformity of the recipient site.  Personally, there have been no deleterious affects to the donor site but it is likely dependent upon the surgical technique combined with my young age at the time of the procedure?

Re: Is there a surgical proceedure to replace damaged/missing toenails?

This sounds similar to artificial fingernails... but how do you adhere it to the skin and how likely is it to fall off and need replacing?

RE:

I would love to find someone in the Dallas area who was skilled at this type of proceedure :)

RE:

I would love to find someone in the Dallas area who was skilled at this type of proceedure :)

RE: Is there a surgical proceedure to replace damaged/missing toenails?

I would like to know if anyone provides this composite resin procedure in the UK?

I had both big toenails removed after ingrowing and the nail bed burned away. I'd love to have replacements made.

 

In hope,

Ross

Re: Is there a surgical proceedure to replace damaged/missing toenails?

Hi,

 

I am also looking for someone in the Toronto area that could do the same type of procedure.  Does anyone have any contacts?

Re: Is there a surgical proceedure to replace damaged/missing toenails?

From what I have read here, this might be an opportunity to team up with a dental lab for the actual toenail prosthesis and then, after receiving it, the podiatrist could "implant" it. This could lead to a new cash-only, cosmetic procedure.

Re: Is there a surgical proceedure to replace damaged/missing toenails?

A slight variation on this theme has started gaining favor among some clinicians, who have started to utilize the focused light energy of a laser to treat onychomycosis.  There are several products on the market which promote this modality in the treatment of nail fungus, and Dr. Satterfield is correct, it is cosmetic procedure which is a cash fee-for-service.  A colleague of mine (and former co-resident) is now one of the few "certified laser specialists" who utilize this modality, and she as reported largely favorable results (although she has only recently started to perform the procedures).

 

I took the opportunity to sit in on several of the treatments with her, to get the feel for things, and it seems to be fairly user-friendly.  I have encouraged her to track her cases to perform a comparative study to generate some data on this topic --the limited amount of study data is a concern that I have about this product/procedure.  While there is limited EBM available to support efficacy of such a treatment modality, i have difficulty trying to "sell" the idea of paying cash out of pocket for such a procedure....

 

Does anyone have any insight or experience on these laser products?  I don't know that i could find many people in my practice in rural Virginia who would be willing to pay $1000 for the potential for clean, healthy looking nails, but i know that there are many areas where such cosmetic procedures constitute a significant source of practice income....

Re: Is there a surgical proceedure to replace damaged/missing toenails?

greetings from Den Haag

 

Dear Mr  Andre.

 

i have quite a many patients who ask me about this.

 

May i ask. does it really work for patients who have no nail plate whatsoever - just the scar tissue left of the nail bed - witth the matrix fully removed.???

 

if so.. is ithere a particular composite bond adhesive thats better - that you can recommend for no irritation of the nail bed? which is best? im going to talk to a dentist friend about this.

 

 

Intesting stuff

 

Anneleen

Re: Is there a surgical proceedure to replace damaged/missing toenails?

I came across a cosmetic nail augmentation procedure on the internet called the Keriflex Nail Restoration System. I have never used this product. It appears that the artificial nail is bonded to a debrided and thinned dystrophic toenail. I am uncertain whether this artificial nail can be bonded to the nail bed such as the product described below by Andre. Here is one website ( http://carepluspodiatry.com/our-services/keriflex-nail-restoration-system/) advertising the product for anyone who is interested. 

Best regards, 

Chris  

Re: Is there a surgical proceedure to replace damaged/missing toenails?


Just an update:

As someone who has lost both of my big toenails due to matrixectomies, I have been doing a pretty thorough job of researching the options available to those of us with...well...no toenails. I recently contacted an authority on the Keryflex procedure (a podiatrist who received his education at Temple University where they do the trainings) and they will not place these nails in cases such as mine where there is only nail bed. The nails do NOT adhere to the nail bed in the absence of at least some sort of nail plate. There must be at least some nail plate available to adhere the resin to. 

I understand the concerns related to the use of fake nails (mainly that it is an excellent environment for fungal growth). I also understand that it must be quite a tremendous challenge to figure out a way to adhere a prosthetic nail to the nail bed (Is there any way to do this?). In my search, I have come across many patented ideas that never achieved popularity and many, many desperate patients frustrated by the aesthetic aftermath of losing their nails. Satisfied with the relief they've had, yes. But also discouraged by the appearance of their feet. Both men and women. Unfortunately many of these people use glue and the dreaded fake nail. This forum is my last hope!


My question is: Is there any way to (safely) attach a nail of some sort to a nail bed without any nail plate whatsoever? 


A final word: I understand this may seem to be merely a cosmetic concern, but it is also a quality of life issue for many people such as myself (yes, even men) and I would appreciate any feedback. I'd love to wear those flip flops again without getting all the strange looks and comments.  : )


Thanks! 

Re: Is there a surgical proceedure to replace damaged/missing toenails?


Also, the podiatrist who I contacted at suggested that "Many people, mostly female, choose to paint these toes." Please don't suggest this; it simply does not work. Especially in cases such as mine where it does not look right. If you think having no toenails is looked strangely upon, try being a male with no toenails and pink toenail polish on. Yup, strange indeed...

Thanks again! 

Re: Is there a surgical proceedure to replace damaged/missing toenails?

I am in the same position too.  Just one toe nail on my left big toe. Sadly, the doctors recommended the treatment when I was 10, and told my parents it wouldn't look any different and we wouldn't notice!  It's extremely unattractive and effects my quality of life and confidence in lots of ways (dating!/spa days with clients for my job/holidays...). I've tried many things, including the flexi resin, but would like something that won't unpredicatably fall off.

AS the previous message indicates - there are lots of people in the same position, and with all the surgery available today, is there anything that is available to us?

Re: Is there a surgical proceedure to replace damaged/missing toenails?


Gosh, we are going to have to start a support group for this issue. Hah. I aam in the same boat as the previous posters. I have been hopefully eyeing this thread for a while because I (too!) have no nails on several of my toes. I have been looking for a solution for years since I had the procedure. Still nothing! Like the other posters said, is there nothing available in this day and age for such a problem? I am tired of using fake nails as a guy. Especially since the last one screwed up my big toe. i have seen the same info about patents online, but nothing that looks like it is available yet. Will there be in the future?

Please give this thread some love! Is there any way to put a permanent nail on a toe without any nail?  

Re: Is there a surgical proceedure to replace damaged/missing toenails?


Surely with over 10,500 views someone out there in the U.S. is working on this, right? Haha. And a lot of people would apparently like to know!

Re: Is there a surgical proceedure to replace damaged/missing toenails?

Hey. Im in the same boat. 25 years after my matricectomy im still furious. I was 12. The manner of the doctor was outrageous. I was told my toenail wasnt important as im a boy, not a girl and i 'might as well have it off.' I was also told my nails were too big for my toes. well several podiatrists have now confirmed this is not the case.  In my case I feel this was an uncessary mutilation, a small mutliation allbeit. And yes it DID impact my quality of life.

 

I find it odd that someone was allowed to alter my body permanently with such little awareness or regard for the emotional impact. There really is something difficult for many people about this particular procedure.

 

It is generally adminstered as if it something faily minimal by practicioners, yet it results in a permanet life long alteration to the body - it removes something. Of course there are worse ways a body can become blemished or altered but when this happens, patients or victims usually are given some sort of recognition that something fairly significant has happened.

 

This procedure clearly has the risk of causing other problems down the line beyond the initial physical problem. There are many hundreds, thousands of people out there who are also feeling awkward about it. I remember the message board for Dr Brodkin who at one time was working on a prosthetic nail implant - he seems now to have given up - hundreds and hundreds of people leaving messages desperate for some kind of cosmetic solution.

 

i tried having resin nails placed using dental bonding methods, but i was unlucky, it didnt stay on while most others apparently do stay on for a fair while.

 

In the end I had a small skin graft over the lumpy scarred, dipped section of my toe. Once healed a permanent cosmetics artist drew a toenail there. I was careful not to use a regular tattoo artist as they have too much of a penchant for black lines around evrything.Perhaps im lucky that the way my toe has become shaped it kinda suited the intended procedure. there is a fleshy nub that hides the lack of depth of the tattooed nail. Also if im feeling fancy i can paint a thin layer of opaque nail varnish over it. All in all this cost me about 2500 pounds - I'm in the UK and it was worth every penny. It looks good enough to not feel self concious. I still dont parade around in flip flops. But it really is pretty good.

 

Surprisingly despite fearing it would sound like a freak request I found three cosmetic surgeons who were happy to do it.

 

I just got tired of how much it was affecting me. Im not saying this would suit everone but thats my story x

 

Sx

Re: Is there a surgical proceedure to replace damaged/missing toenails?

thats great steve that you instigted some awareness and possible research into it with those people at your place of work. as far as i understand it though - there are many cases where podiatrists can now simply remove a thin sliver of nail and matrix on the affected side... using phenol. lazers etc... a podiatrist i saw and tried a porsthesis said it was brutal what had been done to my toe. my brother had ingrowns on both feet last year and he had this method - his nails look completely normal. knowing that their are effective conservative methods available makes me more sad i had the whole thing removed... but then i did have mine done in 1983... maybe then these other methods werent available. im still furious, all the same. lol.

Re: Is there a surgical proceedure to replace damaged/missing toenails?

one other thing... there is a couple of places in the states who make prosthetic body parts for people. i noticed that along side the fake eyes, noses etc.... they also did a prosthetic toe - like a sheath that goes ove your actual toe and has a nail on it. my first thoughtn was that it was creepy, then i thought about the real unfortunates who had missing fingers etc... whos lives were being imeasurably improved by these prosthesis - which look incredibly realistic - you'd never tell. i almost contemplated looking into it. not that i consider my missing nail anything like in the league of most of the prosthetic work they do. But they do do this. it looks as far as i can tell, one hundred percent realistic, you cannot see the join and it matches your skin perfectly. i have nop idea how much it costs. ill post some links when i find it again.... a bit much perhaps, or not... its up to the individual i guess.

Re: Is there a surgical proceedure to replace damaged/missing toenails?

For Stopo and the others who have been brave enough to speak out and share their stories, thank you.

As podiatrists, we only know what we have learned from our mentors. We have been told these stories...."The patient can paint nail polish over the hardened skin once it heals...." "Once it hardens, the patient will find the remaining skin cosmetically fine."

From your stories that you have shared here, this is not always the case. I am glad that you have spoken up. The fact that in your case, Stopo, you were willing to pay over 2000 pounds UK to have the skin tatooed and you are still looking to have a prosthesis made to camouflage the area, this is not the case. This is not cosmetically "fine." We, as podiatrists, need to find a different answer.

What we were trying to do was to find an answer to the PAIN our patients were experiencing with onycocryptosis and we did do that successfully. What we have not done, however, was to find a cosmetically pleasing answer. For that we must keep looking.

There is obviously a deep indentation once we remove the nail. Often times, when we remove the nail, it is a diseased or fungal nail, and so it is easily sacrified. Perhaps we should rethink sacrificing the entire nail for the purpose of curing a single border problem!

Re: Is there a surgical proceedure to replace damaged/missing toenails?

Check out these two products: Keryflex and Just for Toenails.

There are graft matric surgical procedures but I canot justify this for toenails and they require very advanced microsurgical skill to harvest and successfully graft matrix tissue.

Re: Is there a surgical proceedure to replace damaged/missing toenails?


Thank you to the previous posters for your input. It helps to hear from professionals in the podiatry community re: such issues. And, while I cannot speak for everyone, we are very appreciative for the relief that we have experienced from your treatment! 

Unfortunately,  Mr. Markinson, as previously mentioned in this thread, I have contacted representatives from those companies (Keryflex and Just for Toenails) and have been told directly from the source that these products are not designed to meet the needs of those of us who have had chemical matrixectomies and have no remaining nail plate or scar tissue, etc. Currently, there is no option available to those of us with just skin where there once was nail (aside from painting the skin or using false nails, neither of which works very well). 

Thank you for your input! 

Re: Is there a surgical proceedure to replace damaged/missing toenails?

I was told by a MNT, (medical nail technician) in an office in North Carolina that Just For Nails can be used with no intact nail plate. Other than this I cannot say from personal experience. However, this general topic is a good one to illustrate a principle in podiatric surgery of all types that I have learned over the years: Independent of the technical skill of the surgeon and choice of procedure and how perfect the procedure and post-operative course is, the tolerance (by the patient) of any post-surgical imperfection, even if carefully explained, outlined, drawn and consented to, is directly proportional to the degree of problem pre-surgical.  More easily explained: Trivial issues pre-op equals major problems with that scar you explained, small degree of stiffness you explained, abscence of toenail you explained, etc. etc. etc. The active businesswoman who tells you, "I don't care about any scar on the skin" may be telling the truth, but if her bunion pre-op was a small little bump that a shoe modification could have taken care of, she will make that trivial scar into a nightmare for you. If she was limping home from work every day because of her bunion, that scar would not even be brought up.

This is why in all my pre-op discussions, I reiterate these points and ask the patients to really evaluate the effect of their problem in their daily lives.

Re: Is there a surgical proceedure to replace damaged/missing toenails?

Deart Barbara, thank you for your post. It is insightful to hear how the attitude towards this procedure is handed down from previous generations of doctors and foot doctors.

And Dr Bryan, i think youare spot on about the degree of pre op distress versus the final cosmetic result. I also think theres something to be said about having fuller awareness of what you are consenting to. What i mean is an adult might fare better in this situation than a child or teenager who has no idea how he might feel in the long run. I was a very young teenager, i didnt like it, but i that point i didnt completely understand how i might feel as an adult, since a child isnt predisposed to thinking about such things. I also  understand that a border problem or ingrown is quite common during teenage years. these are difficult years enough for a young person to come to terms with body image and changes without adding this to the whole thing.

I understand that there area cases where permanent whole nail removal is necessary, unfortunately. but the entire removal for a nail problem where there is potential for it to be treated much more minimally is a not a duty of care. Peoples bodies are precious to them. Body image is a difficult thing in this day and age. And in the UK., ill informed GPS need to stop sending people straight to the operating theatre for full removal without referral to a podiatrist. In the search for a cosmetic improvement ive come across vast swathes of poeple in the same people who never even got to see a specialist before being sent to theatre. But thats another matter lol.

Kind Regards Stopoo

Re: Is there a surgical proceedure to replace damaged/missing toenails?

the fungus was so bad in all my toenails  the dr. removed all nails,,   applied some type of medicine where my toenails were not suppose to grow back,unfortunatly  within 4 years,, over half my toenails   grew back and with the fungus again.... talk about ugly feet.      now i really hate to go back foot.... what can i do about this?

Re: Is there a surgical proceedure to replace damaged/missing toenails?

A large object fell on my big toe and ever since then it has never grown back correctly. The nail is still growing but it doesn't look right. It is very thick and discolored. It is attached at the bed but not connected to the top of the toe. I would like to get this corrected, is there a way to do this?

Re: Is there a surgical proceedure to replace damaged/missing toenails?

Have any of you guys tried using fake toenails? 

Re: Is there a surgical proceedure to replace damaged/missing toenails?

fake toenails don't work.... wont stay on

Re: Is there a surgical procedure to replace damaged/missing toenails?

Has anyone tried anything that has worked?  It seems like this is easier for woman than it would be for men as the fake toenails are painted.

Re: Is there a surgical procedure to replace damaged/missing toenails?


Not a good solution- from what I've seen, podiatrists typically don't advise it as it creates an environment for growth of various microorganisms and can do more harm than good. Also, it's a very temporary solution- as the previous poster stated, the nails typically just fall off without a way to adhere and sloughing off of skin. There really isn't a suitable solution at the moment, Bry Guy. We should all keep searching, though! I'm sure one will come about eventually. 

Re: Is there a surgical procedure to replace damaged/missing toenails?

Hey Steve. Nice of you to reply.  Not sure of where you are at with this.  Are you an advisor on here or someone who is also looking to improve the look of their feet?

Re: Is there a surgical procedure to replace damaged/missing toenails?


No, I'm not an advisor. I do have some medical background, but it is not in podiatry. I'm just an average guy who has been doing a lot of personal research and searching for a long, long time for a solution for those of us who are permanently missing toenails. : )

Re: Is there a surgical procedure to replace damaged/missing toenails?

So you have had yours removed also?

Re: Is there a surgical procedure to replace damaged/missing toenails?


Yes, several years ago and have been trying various things (to improve appearance) since. Feel free to message me if you'd like to discuss further. 

Re: Is there a surgical procedure to replace damaged/missing toenails?

I think I did message you and I tried the chat feature.

Re: Is there a surgical procedure to replace damaged/missing toenails?

as a woman.. it still looks bad whether painted or not.... i am so embrassed to go without my shoes off.

Re: Is there a surgical procedure to replace damaged/missing toenails?

As a man I feel the same which is kind of weird because as a man I would think most guys would just say its toenails and who cares but for me its not.

Re: Is there a surgical procedure to replace damaged/missing toenails?

I Had to have both big toenails removed(each foot) about 5 years ago now and it still bothers me everyday. I would love nothing more than to be able to wear open toed shoes and go barefoot without having to glue fake nails on every other day:( I have been looking for a permanent solution for the past four years now and getting frustrated and losing hope. I am desperate to find a solution. Can anyone help me?

Re: Is there a surgical procedure to replace damaged/missing toenails?


I'm in the same boat, Jennifer (except as a male, fake nails don't go over quite as well - can't really disguise them in red and even if I could, they don't stay on for more than a day)

I think there are many of us here who hope that by being around a community of podiatrists, we will hear (hopefully sometime soon!) about some sort of long term solution to the missing-toenail dilemma. Seems like a small problem, but it's clearly significantly affecting quality of life issues for many of us. The first time someone asked me about it when I was wearing flip flops at the beach, I knew that it was going to be a cosmetic issue for the rest of my life. And I realized, "People really do pay attention to your feet. Even when you're a guy." In any event, we empathize with your feelings of "losing hope." Please keep us posted if you find anything/come across some sort of solution. Personally, I'm preparing for another summer without flip flops : /

Re: Is there a surgical procedure to replace damaged/missing toenails?

I also had all but 3 of my toenails permanantly removed over ten years ago.  I've tried 'painting' nails, gluing artificial nails...nothing works or looks natural enough that I feel confident wearing sandles or any open toe shoe.  I would be VERY  interested in finding a solution to this problem. 

Re: Is there a surgical procedure to replace damaged/missing toenails?

Anyone know of at least a semi-permanent solution.I've just about given up on finding a permanent one. I am very depressed lately thinking I may have to go through life avoiding certain activities that I once loved due to having to wear fake nails:( I am willing to pay anything to have a solution it would make my life sooooo much easier. Anyone out there know anything to help all of us who are in this boat?

Re: Is there a surgical procedure to replace damaged/missing toenails?

I had a procedure done when I was 10 to help get rid of my ingrown toenail issue - unfortunately it also damaged both of my big toe nails (one worse than the other).  I'm 28 now, and have been looking for something to help with the appearance.  I have had luck with using nail acrylic to "build" a larger area to work with.  Keeping in mind to ensure not to cover the cuticle.  Then I file the acrylic down and leave a rough surface to then add a fake nail (the Kiss brand curved overlay works the best for me).  I cut the nail to the right length and bend it to the position I need it to be in, then glue it on to the acrylic surface. 

 

This is tricky as many doctors and nail techs have varying techniques and opinions.  Only by going to so many did I learn the proper way to do it and of course had to buy the proper tools.  It is also very important to keep it clean when it is on (especially if you go to the beach) I make sure to change it every 2 weeks and always allow time in between to let the real  nail (at least what's left of it) breathe.  I will also warn you that you have to be cautious about the length b/c too long and one good trip could knock the whole nail off (and is mighty painful!!!) but keeping it short I haven't had any problems.  Once painted no one can tell - I even get complemented on my pedicures haha!! 

 

Again - remember to keep it clean and never longer than 2 weeks without changing it - sooner if you are beach bound or public pools etc.  Good luck and please let me know if you come across any other solutions :-)

Re: Is there a surgical procedure to replace damaged/missing toenails?

I have done some research and came up with some info about a doctor named Robert Brodkin in Texas who was in the process of inventing a permanent toenail implant procedure. His contact info came up so I copied it if anyone wants to attempt to contact him, I could not find an email for him however.

 

Address: 2214 16th St
Lubbock, TX 79401
Phone: 806-781-2206
Fax: 806-749-1101

 

 

Re: Is there a surgical procedure to replace damaged/missing toenails?

3 years ago, I had my big toenail removed by my podiatrist. It was allowed to grow back, however it grew back full of fungus. I was put on 2 courses of Lamisil, which did nothing because for some reason, the nail stopped growing outward. It only gets thicker & thicker now, full of fungus. I found a new podiatrist & she recommended permanent removal of the infected nail. It seemed like the best option while I was in her office, I assumed I would just put on an artificial nail. But after reading the posts here, I'm not sure that's the best option. I was looking forward to wearing sandals out this summer with a fake tonail on my bare skin. Should I be pursuing other options at this time before the nail is permanently removed at the end of this week? Thank you for your thoughts. Anxiously awaiting your reply!

Re: Is there a surgical procedure to replace damaged/missing toenails?

I would love to see something like this in Indiana.

Re: Is there a surgical procedure to replace damaged/missing toenails?

If you keep the nail you can always apply anti-fungus top coats with nail polish or theres something calles wilde-pedique(google it). However if there is risk of infection,I would remove it.

Re: Is there a surgical procedure to replace damaged/missing toenails?

Thank you so much Jennifer for your reply. I did google the resin gel you mentioned & it seems promising. It looks like there's a product hat's a little more available in the US called Barefoot. 

 

I don't think my toenail has any risk of infection. It's no longer ingrown, it's just very short, thick & full of fungus. I will call around to some salons tomorrow & see if anyone in the area has anything like this that might be able to help me before I go through with the nail removal with the podiatrist on Friday. I'm getting very nervous about it & am hopeful to find another option.

Re: Is there a surgical procedure to replace damaged/missing toenails?

Today I have contacted the company, LCN that makes the product Barefoot. I was able to speak to a very friendly young lady who answered many of my questions. The product is perfect for people in my situation, with a deformed nail still present, because as with any other product, this one needs a nail to adhere to. She put me in touch with the nearest salon to me that uses the product (an unfortunate 5 hours away!) and I made an appointment there for next Friday.

 

I know this does not help those of you with your toenails already gone, but for anyone still with at least 20% of your nail remaining, this may be a cosmetically appealing option that lasts 6-8 weeks before it needs filling in. I'll let you know what I think of it after I have it done next week & show you some photos! I'm still going to see my podiatrist first to ensure that this is in no way going to further damage my nail or become unhealthy, but I am very excited about it.



Re: Is there a surgical procedure to replace damaged/missing toenails?

Last week I went to my podiatrist to get the results of my biopsy (it's NOT fungus, it's a thickened nail due to the trama caused when it was removed the first time due to it being ingrown.) I showed her the information I had collected on LCN's Barefoot product. She was enthusiastically supportive of this product & me getting it done. So today, I had Barefoot applied to my damaged toenail. And I couldn't be happier. Here's how my nail looked before:

precorrectiontoe

 

 

 

 

 

 

 

 

 

 

You can see that it's thickened, yellow, only about half as long as it should be, and pulled away from all the edges. Not at all attractive. Here's the post photo from today at the nail salon:

postcorrectiontoe

 

 

 

 

 

 

 

 

 

 

I think it looks really, really good. I'm very excited to see how this product wears & how long it lasts (I've scheduled a fill in appointment for 8 weeks from now.) I had the nails then painted, but I should mention that I would have been completely comfortable with no polish at all on it. It looked that natural.

Re: Is there a surgical procedure to replace damaged/missing toenails?

Lisa, I have the same issue.  When I was about 3 or 4, I picked up something too heavy for me to carry and dropped it on my foot.  The nail on my left big toe was damaged, fell off, and I've been stuck with a trauma naill since and I'm  now 44.  As I've pretty much lived my life this way, I've never know life with a flip flop nor do I go barefoot often.  Recently, I've thought of removing it and having a fake one put on in its place.  That lead me to my online search, which brought me to this site yesterday.  When I scrolled down and saw your post and picture,  I finally found someone with a very similar situation.  I hope you post again in a few weeks to say how the new nail is holding up.  If it works, I'll check into it myself before I decide to remove it. I've never had a pedicure so I wonder about the cost of the procedure.  Would the nail look ok on a man's foot, without polish?  Any timps for finding a place that uses this process?  Thanks for any input you can proivde, Lisa.   

Re: Is there a surgical procedure to replace damaged/missing toenails?

Good evening (at least here in Belgium) to you all,
my solution for the nailproblem.  When the complete nail is gone, but you still have the nailplate.  Clean the toe and nailbed. When the lesion is calm place the nailplate onto the nailbed and fix it.  The new nailplate will otherwise have to make his way in the nailbed and this could be painful.  One can remove the nailplate daily to desinfect or clean the nailbed.  Leave the nailplate till your new nailplate is fully grown.

If on the otherhand a part of the original nailplate is still present you could choose for a treatment called photopolymerisation.  Ask your local dentist, he knows what this is.  You can form a "new" nailplate and fix it with a bonding onto the rest of your own nailplate.

Alex Bots (Belgium)

Re: Is there a surgical procedure to replace damaged/missing toenails?

Hi Mike! It's been a week & the nail still looks great! I was told by the company that the nail should last 6-8 weeks before it needs filling in. So far, I couldn't be happier with it!

 

To find a salon that carries the barefoot, I called the company that makes it, LCN at 800.86.NAILS and they helped me locate a salon near me that has it. It's a new product & it doesn't seem widely available yet, but since this was so important to me I decided to make the drive to have it done. It's been so worth it to be able to wear flip flops without worrying about my ugly toenail this week!

 

Yes, the nail really did look natural without polish. It was a little shiney -er perhaps than my other nails without a clear coat on them, but your pedicurist would likely put a clear coat on your nails anyway, even for men. If you want to have this proudct applied to your nail, do not have your original nail removed. It's nessesary to have at least 20% of your original nail for the Barefoot to adhere properly. If you decide you don't like it, doesn't look natural enough, or doesn't wear well for you, you could always have the original nail removed by your podiatrist later.

 

I had never had a pedicure before either & was actually a little nervous about it so I took a buddy with me. You'll get your feet soaked in some bubbly water, she'll remove all the dead skin from your feet, trim your nails, polish & finally apply the barefoot. Nothing to worry about & I do know guys get them all the time. I'm sure she can shape the nail to look very man-ly.  Good luck to you, let us know what you decide!

 

eta: Cost of a pedicure likely varies widely from where you are located to the type of salon you go to. I paid $25 for mine. She only charged me $5 for the Barefoot (the best bargian in a century IMO!) but the other salon I was considering was going to charge me and additional $20 for the Barefoot (again, not too bad for flip flop season!) You should walk out the door for under $50 I think, but ask for quotes from the salon when you call so you're not surprised when you're done.

Re: Is there a surgical procedure to replace damaged/missing toenails?

I am THRILLED to have found this thread!  I have always had terrible nails/short nailbeds but then recently had an ingrown nail 'fixed' and it looks absolutely horrid now- I have only a landing strip of a nail.  I was very excited when I found the Kiss false nails and have used them with success but they are not comfortable and I was really hoping that with technology today that there would be some sort of permanant implant type option.  I will have to look into the barefoot option- though I am wondering if it would help since I need nail added to the SIDE of my nail- not so much the top...

Re: Is there a surgical procedure to replace damaged/missing toenails?

Thanks for the update and great details, Lisa.  I'll have to look into it.  I've never owned flip flops or even sandals.  I'm not even sure I'd walk well in them.  But it would be great to have that comfort if I wanted to I could, or at minimum I can walk around my home barefoot without issue.  I was at a house warming party recently and as it got late, guests started to relax and put their feet in the pool.  I did so, but very careful.  I'll let you know what I decide and post a pic to offer hope to others.  To be honest, I don't understand why the nail grows as it does from trauma.  I can understand it falling off and growing back, but I don't get why it grows deformed as it does.  Thanks so much.

Re: Is there a surgical procedure to replace damaged/missing toenails?

I'm definitely not the expert (and there are many experts on this board so someone else be sure to jump in if I'm not correct here) but it seems to me that if the nail matrix, where your nail grows out from, was damaged, that would produce a damaged toenail. You dropped a large box on your toe, possibly damaging the matrix as well as the nail. I had my toenail removed by a podiatrist who could have damaged my matrix during the procedure.

 

It's been 2 weeks now, the nail still looks great. I've thought at times it's loosening a little bit along the medial edge, but there are other times it seems just fine. I called the nail tech & she suggested using a blow dryer on my toe when I get out of the shower to ensure no moisture is trapped under it. I'm still very pleased with it & can't wait to see what it looks like 8 weeks after it was applied.

 

To the poster interested in the Barefoot with the deformed nail only along the side: I think this product would be great for you. The nail technician would likely go ahead & cover your entire nail with the Barefoot product, just so it would be smooth all the way across your nail. It would also give the Barefoot more nail to adhere to which is important. Call the company at the number I provided above. They are very helpful & friendly & can put you in touch with a nail tech in your area.

 

Can't wait to see new photos of new toenails! Good luck to everyone!

Re: Is there a surgical procedure to replace damaged/missing toenails?

Lisa - i did some further research and have been impressed.  I just called the # you provided.  They are going to have someone call me back.  I hope to be able to get this done in the next week.  Thanks.

Re: Is there a surgical procedure to replace damaged/missing toenails?

That's so great! Good luck to you! Let us know how it goes, I can't wait to see some more photos of beautiful toenails!

Re: Is there a surgical procedure to replace damaged/missing toenails?

Still doing research on this topic because it is affecting me more than I ever thought it would:( I cant go swimming because even if I have fake nails on, water would get in and they'd probably loosen and fall off. It really sucks to be blunt. This might seem like a small problem to others but it's obviously affecting the quality of many people's lives. I hope someone finds a more permanent solution soon. I will let everyone know if I find anything.

Re: Is there a surgical procedure to replace damaged/missing toenails?

Hey guys.  How is everyone doing with their toenails?  I have not been able to get mine in any kind of shape where i feel comfortable going barefoot.  I would like to take a look into this filler thing I have seen about but not sure how it will work on a guy.   Have any of you guys tried this or used fake nails?  The ones i saw in a store had a French tip finish which I didn't know for sure would work on a man.  Would be cool to get together and hang out barefoot with you guys... would probably feel comfortable enough to do it with other people who know what its like to be embarrassed of your barefeet.  Would be cool to wear flips too or just get barefoot with other people.

Re: Is there a surgical procedure to replace damaged/missing toenails?

Any news on getting this done in Indiana?

Re: Is there a surgical procedure to replace damaged/missing toenails?

You know the relative lack of interest from podiatrists on this subject dissapoints me. in the search for a solution the other day i came across a mother posting a question to a surgeon about her 'absolutely distraught' teenage daugheter who ahd both toenails removed a year previous and was still incredibly depressed an upset one year later. 

for me my whole life has been affected dramtically by this procedure. its depressing. dont forget that other things can happen to a persons body and it can all add up to a situation where a persons ability to feel comfortable in their own skin can be dramtically reduced, affecting intimacy, dating and all kinds of social anxiety. its farely disgusting how some helathcare professionals see ONLYU physical problems and not human beings.

Disgusted x

 

Re: Is there a surgical procedure to replace damaged/missing toenails?

I completeley agree with you on that one. My life has been extremely affected to the point where I don't feel comfortable in my own skin like you said. It has also affected my ability to be as intimate, seeing that I can't be comfortable with myself. I used to love wearing flip flops but now I just get anxiety when summer comes around. I haven't been able to go swimming since for three plus years now. It amazes me that with all the ridiculous plastic surgery procedures that are out there that something so simple like toenails hasn't been thought of. I really hope to find a solution soon...for all of us suffering :(

Re: Is there a surgical procedure to replace damaged/missing toenails?

Has anyone ever tried the chat feature here?  If we were on at the same time maybe we could use it.

Re: Is there a surgical procedure to replace damaged/missing toenails?


@Stopo, I hear your frustration loud and clear. I myself have tried speaking with several podiatrists and people in the medical community (even a well known plastic surgeon at one point!!), in my search for a solution and usually am met with very little interest in the matter. It's like the issue of missing a nail is "just" a cosmetic concern...something for nail salons to deal with. Well, it clearly has a significant emotional affect on many people. And as I'm sure many of us on here have figured out by now, a replacement nail for people who are permanently missing their nails does... not... exist. We routinely send people into space, but cannot find a way to stick a nail permanently to someone's foot. Frustrating.

I'm hopeful that something will come along soon, but in the meantime those of us who are frustrated and insecure about the appearance of our nail-less feet may have to come together and works towards developing some solutions... Perhaps start a blog somewhere else about the issue? I'm really tired of dealing with the issue (just as everybody else is I'm sure) and feel the need to get proactive. Just went to the beach today actually...left my shoes on the whole time. Super aggravating, but I'm so tired of dealing with all of the "what's up with your feet?" questions. You are spot on about the intimacy issues. Now my girlfriend is ok with the appearance (shes used to it), but I cannot imagine if I was dating someone I had just met. I would probably just leave my shoes on 24/7. Ugh. Sometimes I think it would have been better to just tough out the ingrown toenails. Now that says something...

Re: Is there a surgical procedure to replace damaged/missing toenails?

@nonailsnick >>ditto to everything you just said. It's sad when all you want to do is enjoy life and instead you find yourself wishing away summers that you once couldn't wait for, so you could cover up your feet once more and not worry about having to go barefoot. I being a girl put fake nails on and paint them and they look real but only last a day and won't go anywhere that I fear may cause them to come off, like swimming:( I am kind of appauled that with all the stupid cosmetic procedure to enhance boobs,fake butts,resculpting faces...We all just want what we once already had back! I wish there was a way a doctor or plastic surgeon could see all these comments by all of us that are so desperate for a solution.

Re: Re: Is there a surgical procedure to replace damaged/missing toenails?
Quote:

Hey guys.  How is everyone doing with their toenails?  I have not been able to get mine in any kind of shape where i feel comfortable going barefoot.  I would like to take a look into this filler thing I have seen about but not sure how it will work on a guy.   Have any of you guys tried this or used fake nails?  The ones i saw in a store had a French tip finish which I didn't know for sure would work on a man.  Would be cool to get together and hang out barefoot with you guys... would probably feel comfortable enough to do it with other people who know what its like to be embarrassed of your barefeet.  Would be cool to wear flips too or just get barefoot with other people.


I have tried the glue on toenails from the store.  I have had somewhat decent success with them and they last about a week.    However- I have found they need to be painted.  They just look a tad too white and unnatural.  When painted they look great- I definately would look into getting the ones posted above that are applied at the salon. 

Re: Is there a surgical procedure to replace damaged/missing toenails?

I know this is troubling for many people and I have come up with a solution that will last about 3 days without a nail at all. If you have an existing nail, it's a lot easier. but if you have that nail removed, I have never found a solution to it. I will post it as soon as I get some photos

Re: Is there a surgical procedure to replace damaged/missing toenails?

Well, it's been 7 weeks since I had the Barefoot nail applied & my next salon appointment is in just 1 more week. I must say, I could NOT be happier!

 

-1

 

 

 

 

 

 

 

 

 

 

 

 

 

The nail still looks beautiful! No scratches, no dents, nothing. It is not quite as secure as the day it was applied, but it's in no danger of just falling off any time soon. This product is amazing & will be my solution to my ugly toe nail for as long as it's available. I hope others try it soon & have the same experience with it that I have had.

Re: Is there a surgical procedure to replace damaged/missing toenails?

Good to hear, Lisa.  I'm looking at setting up my appointment for tomorrow.  I have to drive about 1.5 hours away to find a salon.  I called the number you provided, they put me in contact with an educational representative who referred me to a salon and they ordered the product just for me.  If tomorrow doesn't work I'm looking at the following Saturday.  I'll keep you posted. 

Re: Is there a surgical procedure to replace damaged/missing toenails?

I also have to drive a good 1.5 hours (which is better than the 5 hours away for the salon they originally found for me!) but it's totally worth it. I hope you have the same success with it & are able to post some photos for us! Good luck!

Re: Is there a surgical procedure to replace damaged/missing toenails?

Very attractive pic of your foot.

Re: Is there a surgical procedure to replace damaged/missing toenails?

Hello everyone,
I just discovered this site today.  I have a very similar situation except one major thing.  I'm looking into replacing a fingernail instead of a toenail.  I've tried searching for information on this and come up with nothing for fingernails.   In my case my two index fingers and one middle finger are white.  Other than the color they are healthy nails but being that I'm a man it's extremely uncomfortable and honestly, embarssing when people think that I paint my nails.  If I was a female this would probably not be an issue since I could just paint the nail or not painted would just look like a french manicure. I'm 43 years old and have been to many dermatologists in the past who all agree that it's just the pigment causing the white color.  I've grown accustomed to hiding my fingernails as much as possible to avoid questions and comments but I'm tired of it.  After reading all these threads it makes me wonder if I can have the white nails removed and get a replacement that looks natural but would hate to remove an otherwise perfectly healthy nail.  Any suggestions would be greatly appreciated.  Thanks.

Re: Is there a surgical procedure to replace damaged/missing toenails?

Seeing lots of nice feet and toes now, even guys are so much more into going barefoot.  Saw one guy in flips on a phone just slip his foot out of one of the flips and put it on his other foot while talking.  Something i wouldn't do.  I keep my feet covered but most guys don't understand i guess what a simple pleasure something like that would be for someone who has been embarrassed of his toenails. 

Re: Is there a surgical procedure to replace damaged/missing toenails?

I have been using those Kiss glue on fake nails with pretty good success.  All of my toenails are there but very very very small- but at least there is something to glue the fake ones on to- I have one hideous nail though that only has a 'landing strip' down the middle This is the one that causes me great embarrassment.  I went on a trip to the beach with my pretty glue on nails and kept stubbing my one really ugly big toe for some reason.  It ended up ripping up my real nail and popping off the fake nail.  Nice. Now my ugly toe is even uglier!  it is healed now but so ugly.  I still have my other fake nails on and I have just put a bandaid over the ugly one.  still brings attention to that nail but at least people dont have to see it. bah.

Re: Is there a surgical procedure to replace damaged/missing toenails?

David Spencer- I would absolutely NOT have your fingernails removed due to discoloration.  It will be difficult if not impossible to glue fake nails on and your finger would be disfigured forever.  I do wonder why it is discolored though!

Re: Is there a surgical procedure to replace damaged/missing toenails?

Tara, thanks for your feedback.  There doesn't seem to be any medical condition for my white nails.  Every doctor I've seen says there's nothing they can do.  If they had just a little color I would be okay with that but they are white.  The weird thing is that not all my fingernails are like that.  Two nails on my left hand and three on my right are pink.  It's definitely a genetic thing.  My little brother has the same thing happening and my sister used to but hers turned pink.  I often wondered if hers turned pink because of the nail polish she used to paint her nails.  Looks like there's nothing I can do about it but it's so embarassing that people think I paint my nails white or some people think I have some sort of fungus.

Re: Is there a surgical procedure to replace damaged/missing toenails?

I've been on another board where most of the people don't really seem embarrassed about going out in their barefeet.  Is there anyone here that goes barefoot like that?

Re: Is there a surgical procedure to replace damaged/missing toenails?

As a matter of fact, I made the decision this week to accept what I cannot change and purchase a pair of sandles.  I had surgery to remove all of the toe nails on one foot and two from the other foot.   That was fifteen years ago.  I expect people to notice, but I am so tired of searching for shoes for the summer that are comfortable and in style.  I am still self conscious about how my feet look and hope it doesn't cause others to feel any differently towards me. 

Re: Is there a surgical procedure to replace damaged/missing toenails?

Update: I had the LCN product Barefoot applied to my nail a few weeks ago.  The shape of the nail is much more "nail-like," which I'm happy about.  The technician has used other LCN products but not the Barefoot, so it's trial by error.  She applied the product using a clear color.  My nail is discolored so while the shape is better, it's still noticeable due to the coloring bleeding through the clear product.  We decided not to apply a tip to the nail, too.  During my next visit, she's going to apply a color version of the product in a skin tone to remedy the discolored nail situation.  I also might have her apply a tip, but file it down so just the edge shows.  Changing the color and adding a bit of a tip might help.  In general, the product is hardly noticeable to me and wears very well.  I work out am active and run.  I've had no problem with the nail remaining in place.  I hope the tweaks of adding some natural color to the product itself, and a bit of a tip will seal the deal.  Note to guys: the tech initially applied a top coat that was shiney, which only brought more attention to the nail.  She filed it off.  So if you try this, don't apply a top coat.  As the nail isn't yet exactly what I want, I'll post a picture after my next visit in mid-July.    

Re: Is there a surgical procedure to replace damaged/missing toenails?

That is great news Mike!

Re: Is there a surgical procedure to replace damaged/missing toenails?

That sounds cool Mike.  Where are you from and where did you have it done? 

Re: Is there a surgical procedure to replace damaged/missing toenails?

That's so great Mike! I'm so happy you were able to find a salon that was able to apply the barefoot & you're reasonably pleased with it. I have also found that it wears quite well & am glad you had the same experience. WIth time & experience I'm sure you & your tech will find a good combination of techniques to get the most natural looking nail for you. I've had my second one applied for a couple weeks now, and as happy as I was with the first one, I swear, this one is even better! Congratulations on your new toenail!

Re: Is there a surgical procedure to replace damaged/missing toenails?

I live in Phoenix and drove to Tucson, about 2 hours south, to have it applied.  No techs in the Phoenix area for the Barefoot product. 

Re: Is there a surgical procedure to replace damaged/missing toenails?

Hey Mike, how goes with the toes?

Re: Is there a surgical procedure to replace damaged/missing toenails?

Bry - Considering I posted just 4 days ago that all is well, all continues to do well.  Thanks.  

Re: Is there a surgical procedure to replace damaged/missing toenails?

That is cool.  Didn't mean to bother.

Re: Is there a surgical procedure to replace damaged/missing toenails?

I wish I could find someone willing to look at my nails to see if there is any room for reconstruction. I was born with a disease called Ectoldermal Dysplasia, this causes very sparse hair on the body, abnormal nails period, and also (in my case) an increased level of sweating. I was told when I was younger that the doctor could help file down my fingers to make the nails look better on the tip of my finger, however, he soon later said that he could not perform such a thing and that was the last time I had any hope for a change in appearence.

 Having this disease has really withdrawn me from actually being a person. As many people do not want to show their feet because of no nails, I don't want people to look at my fingers. So on top of never enjoying a day at the beach with friends, I also wont eat, drink, play pool, or enjoy myself in or around public places. If there is a direction that any of you can help point me in, it would actually change my life 100 percent.

Re: Is there a surgical procedure to replace damaged/missing toenails?

What about nail unit matrix transplantation? I googled this and would like to find out if any podiatrists

attempted this?

 

Daniel

 

class 84

Re: Is there a surgical procedure to replace damaged/missing toenails?

 

While I can appreciate humor, it's unfortunate that these kind of concerns are found to be "joke worthy" when they represent real problems to the patients describing them. I get a sense that that may be why these sorts of issues have never been given any real attention by the podiatric or medical communities. Just sayin'. 

Re: Is there a surgical procedure to replace damaged/missing toenails?

Not even funny at all. Most likely you and my own podiatrist hang around together and sit around talking this kind of smack instead of developing ways of helping people to actually solve the problem. My podiatrist like you shrugged it off and told me I could "paint the nail and it will look completely natural" ... Really? Not true.

I have been putting together this website myself to help people who are trying to solve the problem of going around with missing parts and trying to look somewhat normal to the rest of the judgemental world. Hopefully I can finish it soon with example for people to help solve these kinds of issues.

Re: Is there a surgical procedure to replace damaged/missing toenails?

I found, for myself a permanent solution.

 

I had a small piece of skin taken from my hip, leaving a small thin scar, the skin was grafted onto my toe where the nail was missing and there was a deep recession. I had to spend a three weeks with my leg in the air and I know that grafts are tricky on the lower limbs are tricky but it worked. 

The graft is nail shaped, slightly raised on my toe and slightly harder and shinier than the surrounding skin. I wont say its 100 percent identical of course but for me its 90 percent good. No one would know - ever. I had planned to get a medical tattooist to work on it but actually i don't think it needs it. Its almost toenail coloured - crtainally lighter than the pinknes of my toe.

 

I spoke to three surgoeons and all were prepared to give it a go. In the end I chose a hand a foot specialist in the UK.

 

Its funny - all those years of anxiety, trying to glue things on etc,,,  you'd think id be over the moon.. But infact I just feel releived and don't think about it much or even look much at my feet anymore. 

 

Anyway had to share my expreience

Re: Is there a surgical procedure to replace damaged/missing toenails?

Can you share a picture of your toe?  I would love to see it!

Re: Is there a surgical procedure to replace damaged/missing toenails?
Please can you give some details of the surgeon in the UK who performed this graft for you??? I'm may have found a solution to a problem that affects me daily. Thankyou!!!!!!!!!!!
Re: Is there a surgical procedure to replace damaged/missing toenails?

Of course I'd like to offer you any details I can. First off tho, I'm afraid the surgeon asked me not to send any referrals for him as he really is a specialist of hands and feet - tendons etc... and i suppose he is actually more interested in those types of operations and didn't want to be inundated with requests for the same procedure which could easily happen. That may sound disappointing - but really - i spoke to three surgeons who were willing to give it ago, none turned it down. And I got the idea when I read a message board where an American plastic surgeon was advising a toenailess patient to have a graft on her toe so she could fix a  false nail there, and i thought.. well surely if the graft as nail shaped, a good medical tattooist could make it look more like a nail. the result of my procedure was even better than i could have imagined and i ahvent had it tattooed by the medical tattooist. I will try to post a pic on the forum in a few days time, im just going away for a few days.

Having said that the surgeon did warn me that grafts on the lower limbas are unpredictable - and if it didn't take, that could look the same or a bit worse...

So I don't want to paint the picture that this is definitely a solution for everybody. It's worth exploring and took alot of commitment on my part.. really a 3 weeks to a month with my leg in the air... it was'nt easy. though i enjoyed watching lots of telly.

I just wanted to say that I may seem lucky - BUT...

My toenail didn't bother me so much in my twenties... i had lots of fun and gorgeous partners who didn't care at all... and because i didn't worry about it, no one else did. My desperation to fix in came later when i started loosing teeth due to a negligent dentist and got a disfiguring scar... it all became to much to deal with... so i was lucky to be able to eliminate something... I really DO know how horrid it *can* seem, and so senseless if you feel it could have been saved with a  more conservative approach -  but the world does care less than we do.. And I'd exchange all my other physical problems for a missing toenail in a  heartbeat. isn't that ironic! Good luck with everything...

Best
Ste

Re: Is there a surgical procedure to replace damaged/missing toenails?

Hi Ste

I don't suppose you could send us a pic could you?

Re: Re: Is there a surgical procedure to replace damaged/missing toenails?
Quote:

Of course I'd like to offer you any details I can. First off tho, I'm afraid the surgeon asked me not to send any referrals for him as he really is a specialist of hands and feet - tendons etc...
Best
Ste


This comment piqued my interest. I am very familiar with medical/surgical care in the UK where Orthopedic Surgeons would not usually specialize in both hand and foot surgery. It's not impossible, I guess, but I have never heard of it.

Re: Is there a surgical procedure to replace damaged/missing toenails?

I'm at my wits end. I have had two missing toenails for over 5 years now and it is affecting my life TREMENDOUSLY. Now that summer is here I have to constantly worry about it and putting fake ones one which fall off within a day :( I just want to be able to feel comfortable in my own skin again and would give ANYTHING to have my toenails back. It sounds so silly to some but it is self confidence to me and never knew how easy I had it before when I had my nails,to just throw on a pair of sandals and not have to think twice or to be able to go swimming and go to the beach and not worry. I wish someone out there would come up with a solution to this problem so many face. I am 27 years old, I don't want to go through any more of my life feeling this way I want to enjoy life like I used to.

Re: Is there a surgical procedure to replace damaged/missing toenails?

Jennifer - I felt your "pain" while reading your posting. I understand what you are going through. If your toenails are completely gone without any remaining spicule (tiny piece of nail) unfortunately, I don't know what you can do. As mentioned on this forum earlier, if there is a small part of the nail there one can make a temporary one for you using a system such as the Keryflex.

I know this likely won't make you feel any better but the truth is if you polish the skin over the nail bed, even though the nail is not there - I, honestly, think you are the only one that would know that. I, understand that you are still bothered by it, but the truth is if that is your biggest problem in life you are doing okay.

I had a friend back in college (before I was a podiatrist ,obviously) who had bunions. She used to bury her feet in the sand at the beach. Meanwhile, she was an attractive girl. Believe me, no one was looking at her bunions on the beach, and if they were, she needed to stay as far away as possible from them.

Hope, I was able to cheer you up in some way.

Re: Is there a surgical procedure to replace damaged/missing toenails?

I am grateful it is one of my bigger problems and I know things could be worse but it just doesen't help anymore. I do appreciate your comment though. I have tried painting it dosen;t work and dosen't look close to natural and one of my toes looks a lot different than the other because it is indented I guess do to bone sctructure I was told. I have absolutely no remaining toenail so I cannot use the keryflex, have heard of it though it seems like a great system. I just hope one day I will be able to regain my full confidence and not have to worry about the embarrsment of the whole situation. There was a doctor,Dr.Brodkin who was developing a patent to transfer a nail to nail bed but he sadly passed away recently.

Re: Is there a surgical procedure to replace damaged/missing toenails?

I keep meaning to do a website on this but basically if you prime the area then apply the fake nail using specialty skin tape you can get it to stay on for a light rain, or dry for a few days. You might get away with a dip if you strategically place a waterproof bandaid to help secure it down. Since you have two of them it might be a little more awkward. I am a woman too and I feel your pain. I will try to get my website done with pictures so you can see what I am talking about.

Re: Is there a surgical procedure to replace damaged/missing toenails?

Thanks for the tips :) I actually already have a pretty good system going where I use a liquid skin shield to cover the area before trimming down and gluing artificial nails to both big toes. They look real you would never know but however,only last a day and I cannot go swimmin or in water without them coming loose and aflling off. The beach and pools are a thing of the past for me and a lot of others I've heard that have the same problem. It's funny how you appreciate things so much more when you loose them, I never thought about what it would be like withou toenails when I had them and now I never stop thinking about it since it affects my daily life. It's a minor problem I know but something that causes bigger issues at times. I am trying to find better answers for everyone in this situation and when I do,hopeful soon,I will keep posted.

Re: Is there a surgical procedure to replace damaged/missing toenails?

yes, now use the supertape (wig tape) and you can go 3 days or so. Glue does'nt work unless it is flexible. I don't know about lots of water, but you can do about 20 mins at a time of light water in a shower. I've never gone into a pool

Re: Is there a surgical procedure to replace damaged/missing toenails?

Hi, I had received an email from you several years ago about Dr. Robert Brodkin, who at that time, was in the middle of the toenail implant invention.  You asked me to keep you updated about it, so here is the latest that I have or ever will have about it.   After his wife died suddenly, he, of course stopped working for an indefinite period of time.  We would talk about it pretty often, but to be honest, I don't think he ever got back to it.  Earlier this year, he passed away in another city far from where he lived.  It was very sad to hear of his passing and that was from his son.   I don't know if anyone is going to pick up where he left off or if anyone will ever know about what he was working on.  He's the only doctor that I know of that was trying to invent such a thing.  How wonderful it would have been if he had lived to finish it and then some.  He was a good man and is already so very missed!   If I hear of anyone carrying on his work, I'll let you know!

 

 Donna

Southunlady@aol.com

Re: Is there a surgical procedure to replace damaged/missing toenails?

I've found quite a good solution that you may be interested in - sorry to all the guys, but it's more suitable for women as you need to paint the nail.  As I'm getting married soon, I'm really keen to find something that's effective - I'm desperate for surgery, but can't seem to find any options there.

I recently went on training with LCN to do the resin thing on my own toe. It wasn't cheap, but I thought worth it if it works and if and when it comes off, I can just do it again. To be honest, it's so unpredicatble and doesn't look that natural and is a tad labourious to keep applying. Mine hasn't lasted longer than 2 days yet.

However, a few weeks ago I bought some medical glue (used for attaching prosthetics and for stage make-up effects etc). I also bought the new natural nails by Broadway. I've always used their french nails with nail glue, but you can't keep doing it as the skin goes funny. They have a new range of flexible nails out that have a sticky tape backing. These work well on their own actually, but for long term then just apply the medical glue and your nail shouldn't come off at all. When you do pull it off, it won/'t be nasty underneath, as it would with normal nail glue.

 

I've just come bacl from a holiday in Mexico in a luxury hotel and I was delighted - nooe knew. We even went diving and swimming in the ocean.  My boyfriend even commented how impressive it was.

 

I've been out and bought open toe shoes already and feel more confident already - the great thing is that it even stays on with closed shoes, or trainers when other nails have come off.

 

It's still not my perfection and won't be until I can reverse the op completely, but it's definitely worth trying.

 

Let me know if you'd like more info.  I'll try and get some pics on at some point. x

 

 

Re: Is there a surgical procedure to replace damaged/missing toenails?
Thankyou so so much for your message!! This is exactly what I have been looking for! I have always used the hard type false nails but because they are "hard" it makes them pop off when I wear shoes or if I knock my toe. I have kept saying that if only I could find something flexible then the nails would surely stay on longer?! Do you have like an indentation in your toe from the scarrin or is your toe smooth and flat to put the false nail on? If you do have an indentation how do you overcome this?? Can you tell me which glue you use and where from please?? I use kiss medical grade nail glue but it's been discontinued and I'm on my last bottle. So excited to try the broadway nails. Hate that awkward moment when you have been out in ballet flats or stilletos and you come home with friends but don't want them to see you foot when you take your shoes off. I have perfected the mad dash for slippers routine over the years haha!! Hope to hear from you soon. Excited :)))
Re: Is there a surgical procedure to replace damaged/missing toenails?

Hi Joan

The nails you can just buy at boots. They're in a nail varnish shaped plastic bottle in the packagining and they have loads of colours, but I use the manicure ones. It's the first time I've used medical glue and got one called pros-aide adhesive from screenface. It was about £14 I think. The nails are about £7, although I may get in touch with Broadway to see if they could just supply the big ones as the others go to waste! I always put a false nail on my other big toe too, so it looks a bit more similar. That one has been on for two months now!  I crave for a nail on the other toe for it to last that long!

 

I do have quite a deep indentation which is what makes it look so ugly:( Yes - I too am annoyed with the amount of times I've had to hide it with my other foot or when people notice and it freaks them out!

Just so you know - I have been taking the one on my nailess toe off at night most of the time.  On holiday I tried to do this too to make sure it got air, but it didn't go funny underneath, even after swimming. It used to with the hard nails and the normal nail glue.  Just for it to be extra attached at the bottom, I put a tiny bit of normal nail glue too...just a bit so it doesn't irrate or go horrible, but is more secure. However, I have used it just with the medical glue and it's fine...kind of not as pressed down though.

 

Hope you have success with it too!  Good luck and let me know how you get on. x

Re: Is there a surgical procedure to replace damaged/missing toenails?
Youv been so helpful! Thankyou! Am going to order some of that adhesive to try and some of the nails. Please let me know how you get on contacting broadway about purchasing a bulk load of the large nail! You said in your first post that the nails stay on when you wear shoes?? How can you remove them at the end of the day if they stay on so good?? So nice to know I'm not alone!! It really does preoccupy your mind in everything you do doesn't it! Jo :)
Re: Is there a surgical procedure to replace damaged/missing toenails?

I don't know if the medical glue you've used is the same but you just pull them off...I was pleased that it took quite a lot to get it off but because it's medical glue it goes all gummy and pulls off without any damage or the nail being all disgusting underneath (well, more disgustiong!). Will let you know if I have any joy with broadway. x

Re: Is there a surgical procedure to replace damaged/missing toenails?
Even better! The glue I use gives a really hard bond which again means the nails come off when I wear shoes. Sounds like the glue you use is more flexible of it's floppy when you take it off! I have known I my head for ages that I needed a more flexible nail and a more flexible glue but couldn't find what I needed! You have helped me so so much!!!! Also because the glue I use is hard once a nail comes off I have to put it in the bin and use a brand new nail which gets expensive. If the glue is more floppy and can be removed then I would get a few more goes out of each nail. Maybe maybe maybe I can treat myself to a psi of peep toe stilletos!!! That would be my dream come true! Thanks again x
Re: Is there a surgical procedure to replace damaged/missing toenails?

does anyone know where this medical glue can be found in canada?

I have the same problem as you all do. Why didn't we think about this when we let these vultures take our nails away???

Re: Is there a surgical procedure to replace damaged/missing toenails?

Hi Bobbi...I think Screenface may be an american company, so there's a good chance you can get hold of it in Canada.  As I said, I just tried the one they recommended, so there's probably more out there.  You could google it (as I did, then went to the shop in London) or look for a stage make-up shop - it needs to be a good one. They use these glues to add stage body parts etc to the skin.

 

Jo - I hope you try it out and it works for you too and you're happy:) Get those peep toes out! You can certainly use the nails again, but I have them all over the bloomin house! I just keep buying them...small price to pay as you can get a few out of those packs that would work. I'll let you know when I get chance to contact broadway though. What glue were you using by the way?  Was it a medical one? I may try that on the bottom bit instead of nail glue to make sure it doesn't irritate. Did it never irritate your skin?

Re: Is there a surgical procedure to replace damaged/missing toenails?

Tried the wig tape method but did not stay on for long at all. One of the nails started coming loose after about minutes. The nail glue or crazy glue applied after a coat of skin shield liquid bandage is the only method that seems to work for me but that only lasts a day and you cannot go in water or they wil lcome loose so no swimming for me this year again :(. It would be better if they sold nails that were more flexible and thinner but still, the water issue sucks plain and simple. I wish I was a doctor so I could come up with a permenant or at least semi-permenant solution. It's funny how you don't realize how much a stupid toenail affects your daily living lol. I cannot go swimming anymore with fear they will come off. I was going bowling one time and had the fake nails on with sandals and realized when I got there I could not put the bowling shoes on because my nails would come off. It's annoying at the least.

L L
Re: Is there a surgical procedure to replace damaged/missing toenails?
Jennifer- I feel your pain completely. I use the Kiss full cover short artificial toe nails and use super glue. Use the liquid not the gel. The label on the super glue reads "It bonds to the skin instantly" . Sometimes i have to Peel the nail to remove. This's only last 1-2 days however I am able to go swimming and even in the ocean at the beach. I trim,shape and buff the nail. Make sure to buff the bottom of the nail - it seems to bond better. I wish there was a permanate surgery for this! It is SO embarassing to explains this to people!! Have you found any new permanate remedies???
Re: Is there a surgical procedure to replace damaged/missing toenails?

Unfortunately, I have had no luck yet :( I am getting so down about this lately I don't know why it bothers me so much now more than ever but it does. It's a lot harder than people think. What a luxury to just be able to take your shoes and socks off and walk around bare foot and go swimming and wear sandals all the time in the summer. It's something I too am embarrased by and feel hopeless about. I will keep posting here and there with any info I find. I just wish a podiatrist would consider the aftermath of this procedure and find a permanent solution. I want my life back without any embarrasment and fear of this problem.

L L
Re: Is there a surgical procedure to replace damaged/missing toenails?
I actually had trauma to to the left big toe and the dr who is actually a plastic surgeon took a pc of skin from right above my left leg in the crease and actually used it to "try" to shape my toe back to normal - in the process they removed the nail bed completely! I guess in hindsight it really could be worse, I really wish I would have known the consequence of this surgery. I may have taken the risk of seeing how the nial grew out. I was young at the time. Now I am like you I just want to come home and slip on flip lops and go out side and water my plants or go to the beach, pool or even my children's functions without people staring at my feetl or having to explain the entire ordeal! I dodge activities that would remotely put me in this position, and really I have a hard time finding closed toe cute shoes that i would like to wear with shorts! I am thankful though that I can at least use an atificial nail and paint it-And look some what real! I never thought about the guys until reading these post! I pray that soon we will find a permanate solution for all of us!!! Please keep the post coming, I have hope that one day we will have solution! I have contacted the plastic surgeon that performed the initial surgery refencing this lik I found on line about an artificial nail implant,, http://www.patentstorm.us/patents/5060678/description.html. I will let you all know what type of response I receive!
Re: Is there a surgical procedure to replace damaged/missing toenails?

I feel for you guys. The agony of this is so true. Please try the methods like the wig tape, the adhesives etc. I am doing this now 2nd year and finally comfortable to some degree with my feet. for the most part using tape and liquid skin I can put the nail on and have it last a few days without it flipping off. I've gotten very comfy with this method. I always carry a bandaid in the event that anything were to happen to cover but I have not had to use it in over a year. Have you thought of using a tatoo? It might cover you and make you feel a little lively at the same time. I am planning to also try the Kiss (although I tried other of this type of glue and one day my nail flipped off unexpectedly) and the prosthetic glue.

L L
Re: Is there a surgical procedure to replace damaged/missing toenails?
Can you describe your method in detail -describing exact product names ect......? I use actual super glue and I just carry it with me and if I see it might come loose or I am about to go somewhere for a long period I will lift around the artificial nail and squeeze a tiny amount and secure! Sometimes gets messy but I have learned to perfect it I guess- every summer anyway:) it is really nice to know that I am not alone - I don't know a soul around my area that has this problem!!! For all those podiatrist or podiatry studens, plastic surgeons (if you are out there reading these posts) we need your help,
L L
Re: Is there a surgical procedure to replace damaged/missing toenails?
I use specifically KISS~96 Full Cover* Glue-On Toenails~Short Length~No Chip~Long Wearing #50543 - these are clear and I use the #1 only. I throw the others away! The box has a foot with a french manicure but they are clear within the box. Use the no1 nail flex it back in forth and it becomes a tad bit more flexible. Trim and shape as needed. Buff the top and bottom to give it a natural look/not shiny. Clean toe with alcohol let that dry. Press the shaped nail down on the toe without glue to make an intention or mark of where to apply the glue. Apply a small amount of glue to toe area that you impressed and press's he artificial nail firmly to the toe. Wipe excess glue with a towel. Once you put it on you will be able to see through the nail exactly where the glue was applied and add if you need. Use Duro super glue- this one works the best. Keep with you and use if you feel like it may come off. I to carry a bandaid!!! I am going to try prophetic tape once I find out what you use specifically! I hope this helps someone out there, this is the best I have come up with"..... Until we find a permanate solution Of course!
Re: Is there a surgical procedure to replace damaged/missing toenails?

Liquid Skin (New Skin, Walmart 3.50) and Wig Tape (SuperTape) has red writing Supertape on it. Use any fake nail, I color mine becuase using a clear one would not match the other side that is really ugly looking. The fake ones I use, I cut a few and paint them in case I need them later. these are french manicure type. Probably Kiss, but not sure. I have tried the crazy glue and other nail glues and they get crackly and break off suddenly. With the skin and wig tape it will slowly melt when it is old. You will know in advance that it is about to blow. You can carry extras and apply the tape to them keep them in your wallet in an emergency you will have a new one. I never need it. I wear sandals all day long. I wear shoes with socks, I go to bed, wake up they are still there. Sometimes usually when wearing shoes and socks and doing a lot of walking, they are pushed a little over or down but still there. Just readjust. On the tape, cut it in half, it comes in strips. Cut in half lengthwise it's the perfect size. Trim any excess off of sides so you don't collect lint or dirt there, its super sticky. Feet sweat so you need to have something that is for skin but will adhere to the base when sweating. that is why liquid skin is used - as a primer. When your tape is old you peel it off the same nail and reapply a fresh piece, you might want to use a small sharp scissors, or end of the metal nail file, cuticle stick etc, to help you lift it off by twirling it off. This method will not hold up in water or swimming but it will in basic water getting on your foot, a spilled drink landing on you etc. If you plan to swim try the other method described a few posts above or the one above this post maybe.

Re: Is there a surgical procedure to replace damaged/missing toenails?

I tried wig tape but it did not work. I find putting a layer of the liquid bandage like "new skin" then using super glue lasts the longest for me(about two days maybe). I have not tried to go swimming yet and would not with fear of it coming off. I prey for summers to be over now when I once used to pray for them to last forever. I really hope we find some sort of relief from this proble msoon I empathize with all of you.

Re: Is there a surgical procedure to replace damaged/missing toenails?

the one i tried is this one: http://www.lhboutique.com/Super-Tape-Thin-Straight-36pk-p/stthinstr8.htm

Works for me for several days if I don't get my feet wet.

Re: Is there a surgical procedure to replace damaged/missing toenails?
What do you all do about the fact that we have an indentation in our toes where the scar is?? I find that it's this little "air pocket" where the false nail is not glued to skin that causes it to pop off easier. If the false nail was stuck to flat skin surely it would stay on longer?? I too have no luck with tape. Super glue/nail glue works best for me so far but does not hold at all if I wear closed toe shoes :(
Re: Is there a surgical procedure to replace damaged/missing toenails?

 I'm imagining that the tape is covering the right side, part of the top area and the middle area. so the only area I dont think is getting covered is the left side of that toe but the rest of it is holding it on snugly. The left side is a deep indentation. I just put the fake snug against that.

L L
Re: Is there a surgical procedure to replace damaged/missing toenails?
Response from a reputable plastic surgeon in my area in this regard: I'm not giving up though!! "I don't work on finger or toenails and suspect that the process you have referred me is purely for cosmetic reasons when dressing up. I would think that there is no way to produce a functioning, stable nail with adhesives. I'm sorry I can't be of more help. i also am not aware of any other doctors in the area who do the type of services you are asking about. Kindest regards,"
Re: Is there a surgical procedure to replace damaged/missing toenails?

I too have a deep indentation only on the right toe and the left is flat so makes it harder to make both nails look exactly alike. I actually,strangely,find the nails to adhere to the right toe with the indentaion better as I think the skin is rougher compared to the left which is flatter and smoother so doen't bond as well. I don't want to try anything until a permanent solution is found. I will continue to just use my fake nails and super glue I guess for now.

Re: Is there a surgical procedure to replace damaged/missing toenails?

Hi there all.

Amazing to see this thread has been going since 2009!

My problem is actually the nail of my left middle finger. Last year I got it and my ring finger shut in the swing doors at work. The ring finger is ok but my middle finger nail now only grows at the sides. I have been considering having the remaining nail removed completely as the two halves grow out to the sides and keep catching on things if they grow more than 4 - 5mms (Ouch moments). 

The skin glue and Broadway nails sound an interesting prospect for my problem which is mainly the ugliness of my finger. As a nurse I'm not too concerned about day to day at work, I'm in theatre and often wearing gloves. However when I go out I no longer wear my engagement ring as it attracts attention to my ugly finger but my husband is disapointed that I no longer wear the ring. I don't think he much likes my finger either but he would never say so directly.

As a nurse I wouldn't be able to wear the artificial nail at work but it sounds like these would be removable without leaving a revolting mess underneath. Living in Bahrain limits the availability of many products - we do have a Boots so hopefully they will have the nails / glue mentioned.

After all my Googling etc I was surprised to see how many people have such similar problems with nails, particularly toenails and yet there seems to be little interest in finding a solutiion.

One of the obstetricians I work with did wonder if new ones could be grown from stem cells, have to look into that as it's an area I really know nothing about.

Is there a surgical procedure to replace damaged/missing toenails?

Hi,

 

I am the father of a 6 month old girl who is perfectly healthy, with the exception of missing all of her toenails.

She has been seen at 2 of the top Children's Hospitals in New England. Each time, the checkup took less than 2 minutes before the doctors assured us that she would be OK from a functional perspective...When we asked about cosmetic options, we were basically told that we were lucky it was not her fingers because toes are less visible(not exact words, but the impression that both my wife and I had).

We are obviously very grateful that she should have no functional issues, but when I started researching cosmetic options that we could consider in the future, there is little/no information available. We have no idea at this early stage of her life how or if this will affect here, but we'd like to have options to consider by the time she is 7 or 8 years old.

For any interested doctor who may be reading this or considering doing research in the area, please feel free to contact me to discuss details.....I'd even donate my own toenails for research if someone is working on toenail transplant options....

 

Best Regards

Scott

Re: Is there a surgical procedure to replace damaged/missing toenails?

^^^I'm sorry to hear that. It frustrates me when a doctor says stuff like that because they obviously don't know what it feels like. I really hope they find a permanent solution to this problem for all of us. Hopefuly she will adjust better which I'm sure she will becuase she will be used to the issue and probably find ways of dealing with it. I had to have mine surgically removed a few years back and don't think I'll ever adjust to it. The doctor told me I could paint the missing toenail area but come one? Really? That dosen't work and looks obvious. Dr.Brodkin was my last hope but sadly he passed away :(

Re: Is there a surgical procedure to replace damaged/missing toenails?

Scott - that's really sad, and I'm sure very unusual. I guess the great thing while sh'e young is that naivety's bliss and I hope she's so used to it that it diesn't effect her when she's older. Please let us all know if you hear of any surgery! 

Ann - ~I live in UK and happy to send anything over to you if you can't get it in Dubai. Living in such a hot country, you must wear open toe shoes a lot?

Jennifer - my doctor told me noone will notice and I can paint it too. I'm now angry with myself that I didn't think how ridiclous that was or ask to look at a picture, but I was really young and it didn't efect me until I was older. I guess the internet will prevent people considering the op now. 

Re: Is there a surgical procedure to replace damaged/missing toenails?
Quote:

Hi,

 

I am the father of a 6 month old girl who is perfectly healthy, with the exception of missing all of her toenails.

She has been seen at 2 of the top Children's Hospitals in New England. Each time, the checkup took less than 2 minutes before the doctors assured us that she would be OK from a functional perspective...When we asked about cosmetic options, we were basically told that we were lucky it was not her fingers because toes are less visible(not exact words, but the impression that both my wife and I had).

We are obviously very grateful that she should have no functional issues, but when I started researching cosmetic options that we could consider in the future, there is little/no information available. We have no idea at this early stage of her life how or if this will affect here, but we'd like to have options to consider by the time she is 7 or 8 years old.

For any interested doctor who may be reading this or considering doing research in the area, please feel free to contact me to discuss details.....I'd even donate my own toenails for research if someone is working on toenail transplant options....

 

Best Regards

Scott

Scott:

As the father of five, four girls, I can relate to the challenges of fatherhood.

 

However, in this case, we are not talking about some of the challanges that parents face for a lifetime, with health, mental and physical deficits in their children.

Your daughter is two and it is you that are making this challenge more than it will be.  I agree totally with her doctors that you should gain a perspective here of how this will affect your little ones future and downplay this as she grows.

Someday, when she is a 12 year old princess, she'll put polish on her nails and go out there and find a prince.

I'll end with a podiatrically oriented Ancient Jewish Proverb:

I felt sorry for myself because I had no shoes until I met a man who had no feet.

Dennis



Re: Re: Is there a surgical procedure to replace damaged/missing toenails?
Quote:

Scott - that's really sad, and I'm sure very unusual. I guess the great thing while sh'e young is that naivety's bliss and I hope she's so used to it that it diesn't effect her when she's older. Please let us all know if you hear of any surgery! 

Ann - ~I live in UK and happy to send anything over to you if you can't get it in Dubai. Living in such a hot country, you must wear open toe shoes a lot?

Jennifer - my doctor told me noone will notice and I can paint it too. I'm now angry with myself that I didn't think how ridiclous that was or ask to look at a picture, but I was really young and it didn't efect me until I was older. I guess the internet will prevent people considering the op now. 


Hi there Toeinfo.

Many thanks for the offer but hopefully I should be able to get family members to send me some if I can't get them here in Bahrain.

Ann

L L
Re: Is there a surgical procedure to replace damaged/missing toenails?
Scott, I am just wondering f you have received any response fromr any doctors in regards to your daughter? I think for the most part we all feel greatful that the problem we have is basically cosmetic but it is terrible how with all modern medicine there is no procedure to cosmetically fix missing toe nails. I pray that a doctor will find some interest in finding a procedure to permanately fix this for us!,
Re: Is there a surgical procedure to replace damaged/missing toenails?
Re: Is there a surgical procedure to replace damaged/missing toenails?
Re: Is there a surgical procedure to replace damaged/missing toenails?

http://www.handandfootspa.me.uk/price-LCN2.html

 

says they can do this with no nail whatsoever... available in london, uk from this salon. also available in leeds uk too...

Re: Is there a surgical procedure to replace damaged/missing toenails?

Just wondering if anyone has found any new info yet? Been a while since I've done any research.

L L
Re: Is there a surgical procedure to replace damaged/missing toenails?
I have not done any research for a while either. But summer will be here before we know it! So if anyone out there has anything please post!!!
Re: Is there a surgical procedure to replace damaged/missing toenails?

I just purchased from appealingwhilehealing.com.The website says:

Easy-to-apply, latex-free cosmetic covering conceals damaged or missing toenails.  

I will let you know...

Re: Is there a surgical procedure to replace damaged/missing toenails?

I also need to replace my toe nails, i lost two of my big toe nails since 10 years ago, and as a lady, it disturbs me a lot, and its affecting my self esteem, please if there is any possible remedy, i will be interested, i wouldnt mind the cost. 

Re: Is there a surgical procedure to replace damaged/missing toenails?
Still looking for a solution here too... And yes, summer is always rough (no flip flops here). To the patient who used the "Appealing While Healing" product, how did that work out? I had seen that product, but wasn't impressed with the idea... Not to discredit the inventor, but it seems like a glorified bandaid that you wrap around your toe and can paint... I think most of us here are still searching for that "permanent" solution. Would be nice to hear from someone in the podiatry community who is interested in creating a long term, medically safe product. If not someone who is a podiatrist, perhaps it wouldn't hurt to reach out again to those in the plastic surgery or medical prosthetics fields. I'm sure the entrepreneurial person that creates the permanent "fake toenail" (or even semi permanent) would stand to make a fortune. There are so many people in the world (young and old) with diseased, mishapen, and unsightly toenails. Look at this thread alone- over 100,000 views! It is far and away the most frequentsd thread on podiatry.com, probably viewed by people all over the world... In the meantime, back to being proactive- has anyone tried a fake nail adhered with medical grade adhesive (like a silicone adhesive)? Something that is not just plain old super glue/nail glue, but that is safe, pliable and that could last a couple of weeks before being reapplied. Wonder if that type of thing would be possible. Has been 4 years to the month since this thread came along. Hopefully something will be available in podiatry clinics someday soon, but it does remain discouraging...
L L
Re: Is there a surgical procedure to replace damaged/missing toenails?
I ordered the appealing while healing and its just how you described , "a glorified bandaid". I had the entire nailbed removed and there is no nail indentation there so this will not work for my situation. However I had two slithers of nail that grew back and actually became a blessing in disguise because now they act as an anchor when I glue the fake nail on. It's very discouraging that you do not have anyone looking into developing a permanent solution to this problem. I am willing to participate in an experiment if there are any professionsl out there. Dreading summer time in Louisiana! Let me know what the specific medical grade glue you are referring to. I am interested in trying this in lieu of super glue. Happy Mother's Day to all moms out there!!! :)
Re: Is there a surgical procedure to replace damaged/missing toenails?

I tried the appealing while healing.  It looked silly. I took it right off. I do like the idea that it wraps around though.  I guess I will stick with what I did last year.  I bought wig tape, which is double sided, to hold a fake nail on since glue was NOT a good idea directly on the nail bed.  Still not good in the water though.

Does anyone know if the LCN Barefoot system can be used when there is no nail left?  There are no salons in my area that do it, but I was going to see if I could find a professional to order it for me.

Re: Is there a surgical procedure to replace damaged/missing toenails?
I have had the Lcn done professionally several times and I have no nail bed at all. Sometimes it stays on, but generally it comes off after a day or so unfortunately. It's good for special occasions, although a fake nail looks better. I have even bought the Lcn system myself and envisaged just doing it myself whenever required for the whole summer. However, it's a lengthy process and doesn't always come out looking right. I should maybe persevere as when it's done professionally it looks better - but that's costly when it doesn't last! My preferred method is as I've stated earlier - fake nails with the sticky backing used with make-up artist/prosthetic glue. This lasted me a whole week in Mexico last year - and I even went snorkelling out at sea with whale sharks!!
L L
Re: Is there a surgical procedure to replace damaged/missing toenails?
Please please post specific brand names on adhesive and fake nails! Include photos if you can and directions! I'm definitely trying if it stayed while snorkeling:)
Re: Is there a surgical procedure to replace damaged/missing toenails?

hey... i came across something called as silicone finger prosthesis... they seem to be very realistic and can psossilbly offer a solution.. i am posting few pictures... distal finger prosthesis have been made and appear to be a viable option for our problem. If anyone has any idea regarding these, please share.. they seem to me as the most realistic choice at the moment. silicon prosthesis hold well by vacuum and no glue is recquired.. can be made for all fingernails as well as toe nails.

Check the follwing link-

http://books.google.co.in/books?id=yl5BYZXIJfMC&pg=PA317&lpg=PA317&dq=sub+mini+digital+prosthesis+beasley&source=bl&ots=p6LyKHf6MY&sig=i_QNiEPdD--gdZfGCN98lpvk_fk&hl=en&sa=X&ei=mGO0UbDkI8mtrAfD8YC4Aw&ved=0CC8Q6AEwAA#v=onepage&q=sub%20mini%20digital%20prosthesis%20beasley&f=false

somato11_1 (2)somato11_2toe3toe2

Problems with matrixectomy after 10 years. Regretting the surgery

I am excited about finding this site and specific topic. I've only known one other person that's had this procedure done. I am 26. I had it done on both sides of one of my big toenails when I was about 15 due to chronic ingrown nail from constant torture on my feet from ballet. Within the past week something happened to where it appears that the remaining "landing strip"of a nail is coming off completely and is likely infected. I'm so cautious when I walk as to not hit my toe on anything. Its awful. I spent 2 hours reading the comments on this topic once i found it. i can relate to a lot of the ones I read. We will find relief!

I was thrilled to find this topic, not to mention how active its been.
I too had both toe nails removed about 20 years ago and have tried tirelessly to find something more permanent than at the most an overnight fake nail.
At the moment I am awaiting the arrival of cnd gelbond adhesive which I was recommended. I also like TOEINFO idea of the wound spray and then the stage adhesive.
During my many thoughts, I'm keen to know has anybody thought of trying the new 'nail wraps' that are out? I have not had any dealings with them but wondered would they do the trick?
What are the products exact names that u used and where did u purchase them?
I purchased the CND gel on Ebay of which there is plenty. If you search for the following: 9g CREATIVE CND CLEAR GEL BOND Nail glue Acrylic nails. It's in the region of £12. The medical spray is available in many supermarkets and pharmacists. Basically it is a spray on plaster. I have yet to try this as an adhesive for a false nail. Hope that helps.
Hey

I'm not sure if it was mentioned in an earlier post, although I've read a great deal, but I was wondering if LCN's Barefoot product works on a toe without a nail, or just a toe with a partial or damaged nail?

Also, does anyone know where to get the silicone stick-on toenails as seen in the pictures above? The link on the post takes you to a book, but how do I get one? Go to a podiatrist?

I too was persuaded by a 'doctor' who said I didn't need my big left toenail. And and I'm stunned to read everyone's similar sorry. I had that "I'm not the only one going through this" moment. In hindsight, I get the impression the "doctor" pushed for the procedure so he could 'perform' it. I remember him reacting slightly excited when I agreed. (I only recognize it now) I was so young... I don't believe he had my best interest in mind. I believe he was thinking of himself and getting to do an unnecessary procedure. It was only an ingrown toenail for gosh sakes! I was in a play at the time and wearing tight tap shoes at the time. He could have just removed half the nail, but he made it seem like it was no big deal. Now I'm an adult, and it is a big deal. Unscrupulous man.

My brother had an ingrown toenail but he was smart and refused the procedure of killing the toenail bed. Instead he opted for the partial removal and it grew back in fine.
There's no reason to remove a toenail permanently if you have an ingrown-related infection. Just ridiculous.

Parents: don't let your doctor remove your child's toenail unless its the ONLY option. It's unnecessary. If only my mom had intervened in my case...
S F
Re: Is there a surgical procedure to replace damaged/missing toenails?

Can anyone in America speak of this?

 

http://www.google.com/patents/US20110226265

Re: Re: Is there a surgical procedure to replace damaged/missing toenails?
Quote:

Can anyone in America speak of this?

 

http://www.google.com/patents/US20110226265

Too many possibilities along the way for the procedure to complicate and fail for it to become mainstream IMHO.

 

Dennis

Re: Is there a surgical procedure to replace damaged/missing toenails?

Curious concept, that of "artificial nails".

As Dr. Shavelson stated I think it may be more trouble than what its worth to pursue this.

 

On another note, I think it's pretty amazing that this discussion thread is going to soon reach 10,000 views! Who would have thought? I sure didn't.

Maybe researching nails further (as in the concept posted above) does have some financial as well as cosmetic benefit after all.I certainly understand the aesthetic relevance of having "acceptable" fingernails, as they are exposed, but certainly not toenails.

 

"The views expressed are my own personal opinions and are not representative of any current or past employer, nor organization I may be affiliated with."

With all due respect, I don't think it is at all surprising that this thread has so many views. It is clearly something that many, many people perceive as a deformity in our culture, and something patients hope to have corrected someday. A high value is placed on appearance in this day and age. Cosmetic surgery is not a small subspecialty of medicine. It is easy for those who have never gone to a pool party without toenails to be dismissive or perceive it as "no big deal," but I would encourage those people to walk a mile in the patient's shoes (or bare feet, as it may be). Clearly it is not something that many providers feel warrants attention, so it goes unaddressed. Easier to say "Just paint your nail bed" than to go through the hassle and clinical trials to develop a long lasting solution that is appropriate and will enhance the patient's self esteem. I digress.

Bottom line: I am thankful that some visionary podiatrists such as the one in the above mentioned patent are working on this issue (silly as it may seem). And I doubt I'm the only one...
Also, just worth noting: This thread is actually well beyond 10,000 views and is currently at 101,367 views. Which may well be the most views of any thread here...ever... Just thought that was worth mentioning. Pretty amazing!
Re: Is there a surgical procedure to replace damaged/missing toenails?

To all of you who have missing or mishapen nails - I see a huge number of comments explaining the pain  - physical and emotional - that this causes people. It is a reminder to those of us in podiatry to never take lightly the "simple" removal of a nail! It can be something that alters a person's world.

 

But I wonder about this.....several excellent solutions have been offered but I don't see that many people have either investigated them or had them performed by a professional. I am speaking of Keraflex, which I know works if you have even a sliver of nail to work from, and the LCN products. Yes, they are expensive and there is a need to have continuing treatments. But for a problem that is altering your habits and personal sense of completeness, I believe that it is well worth it.

 

I wouldn't advise trying to do these on yourself (and I don't perform these and so I don't have "a dog in the fight.") It is impossible to apply these products/techniques appropriately by yourself, even with training. The issue isn't whether a person is capable or not but is a matter of physical perspective. You are working from above and not from an eye-level, distal perspective.

 

I wish I could come up with an at-home, easy to reproduce, inexpensive treatment to undo any harm that we may have unknowingly caused. That would be wonderful because OBVIOUSLY, given over 100,000 views on this thread, there is a REAL NEED.

 

Any budding inventors out there have any ideas?

It is really beginning to effect my life more as I get older now. My career is taking off and I do a lot of global travel and sadly, one of the first things I think of with a trip to a hot country is of the state of my feet/nail and I hope we don't have up hang out around the pool or beach. That is really, really sad and some may say shallow...but it's the way I feel. I have the same situations regarding holidaying with friends. I've got over the open toe shoes and wear false nails, but it's harder on holiday and especially when you're lying on a sun lounger - false nails don't stay on or simply look false.

Audrey Rockefeller - in abase to your question on LCN system. I hAve this and spent a lot of money on the training but the comment above is correct. Very hard to do yourself, very time consuming and depends how long it lasts. It also looks quite fake, but fine for with open shoes. Wouldn't last long on the beach.

I have just come back from a beach holiday in India and used my usual fake nails. This is definitely the best system I've found to date. You actually wouldn't know and I'm totally fine with it....it's just this problem with the glue becoming irritant after a few days and the skin (where the nail used to be) being really itchy. This time - as it wasn't humid and I took it off every night it didn't go itchy and didn't look bad when I got back and stopped wearing it (sometimes the skin goes funny so you then cAnt wear a nail or show your toe at all as it's even worse looking than usual (if that's possible!). I'll upload some pics now. This time I just got the cheap fake nails and glue and I think they were the best I've had.

To any surgeons looking in to this - I work in beauty PR. I will get magazine coverage for you to make millions!! And I'm happy to be a guinea pig for any trials. Please change our lives:) xx
Can you advise how to upload an image anyone? Maybe I can't do it on my phone?
Re: Is there a surgical procedure to replace damaged/missing toenails?

snap4

 

 

 

 

 

 

 

 

As a patient with this problem, what is NEEDED, is a medical grade SNAP that can be implanted in the nail bed. Then a resin nail with a matching snap.

Re: Is there a surgical procedure to replace damaged/missing toenails?

I have tried the fake nails but they do not last very long and who wants to wear them out with the fear of them falling off? I myself cannot try the resin nails because I have absolutely no nail left at all whatsoever. I used to love Spring and Summer but now I dread them :( I want my life back!!!

Re: Is there a surgical procedure to replace damaged/missing toenails?

I, along with many of you, have gone for years and years with no big toenails.  It started in my late teens when a podiatrist said I had to correct my ingrown toenails.  Long story short, I ended up with fungus under my nails and they only kept getting thicker and more unattractive.  Another podiatrist said the only real way to get rid of the fungus after medication didn't work was to remove them.  Three surgies later I was without any nail or nailbed.  I dread summers and walking around barefoot.  However, I have come across a temporary solution that works fairly well, though I stress only temporarily.  My nail technician uses the same powder and liquid that she uses to give me my "pink and white" fingernails.  I believe it is acrylic or something like it.  The reason I think this works fairly well is that she puts it directly on my toes and it forms to the hills and valleys of the toe where the the surgery was.  It is basically a "custom" fake toenail so even when it starts coming loose (usually 6 - 7 days as long as I haven't worn closed shoes or been in a pool),  I can easily use nail glue to glue it back on and it conforms to the nailbed.  I do have her paint all my nails with a color I bring with me so in case I have to resort to a drugstore brand of fake nail until I can get back to the nail technician, my nail color matches all the other toes.   I usually check how well the glue is holding each moring before going to work but I always have nail glue with me in case they start to come loose during the day.  As I said, the nails usally stay on about about a week and then I have to glue it every other day or every day.  By about two to three weeks, I have to go back to the nail technician to start all over.  At $5 a nail, I don't think that is a bad deal for the summer months.  I leave artificial nails off of my toes during the winter months.  I have had success with these nails in pools but not so much the ocean.  I tend to be paranoid about them but it is better than not being able to wear open-toed shoes or not go into a pool.  I keep hoping, like many of you, a permanent solution will come along as this really does mess with one's self-esteem.

Re: Is there a surgical procedure to replace damaged/missing toenails?

I wanted to make a clarification to my previous post.  I was at my nail technician's yesterday and she said it the clear gel powder she uses when forming my "custom" fake nail and not acrylic powder or "pink" powder I alluded to.  I didn't ask her what the liquid was that she uses with the powder but it is whatever nail technicians use for making gel nails.  Once I get my first set of summer nails, I will upload a picture of them.