So a quick little over cap.
We've had this super curved nail, right, and we talked, uh, first appointment
about the two options for ingrown option one, conservative treatments,
letting that corner grow longer, right?
Cleaning the sides, if we do cut down the corner, having it done
properly, not leaving a spike, but you guys have been managing
it on your own, letting nail grow.
It's been better.
Very good.
Yeah.
But you have to maintain that for the rest of your life.
. So the permanent solution is this ingrown toenail procedure where
we've already numbed the toe.
We're gonna make that straight cut and we're taking enough of
the nail to, to make sure we don't get any curl left behind.
We apply the acid and that part of the nail will never grow again.
Right.
And again, this is a very severe curl.
Now what happened?
Did you bang or damage his nail, lose his nail in the past?
What?
What's happened?
I don't recall that, but, uh, I don't know.
So what we talked about a little bit, only the bad way of cutting.
Mm.
Bad habits.
You were cutting down the side a lot.
So we're gonna put a little rubber band on a little tourniquet.
Okay?
So there's very little to no blood during the procedure, so we can
see everything nice and clear.
We're gonna do our second check in a moment.
I like this way.
This is like the Christmas present.
I get to unwrap it.
So we're gonna do our second check.
So I'm just gonna cover the toe for a second.
So anything sharp here?
Nope.
Over here?
No, down here.
Down here.
So first step, we separate the nail from the nail bed,
so it comes out nice and easy.
not feeling a thing, right?
So this is really cool to see how curled.
So this is the angle of that curve.
It's like this, yeah.
Not like really on like a 45 degree angle and get around this corner.
So this is the hard part.
If I just take the nail here mm-hmm.
, you're still gonna have a problem.
We really have to go enough to make sure that we don't get any curl left.
Yeah.
I leave it up to you though.
Whatever is required.
I appreciate it.
Something doesn't matter why
So we're gonna do this side first.
So just getting that corner, this one out.
One down.
So your toenail's going on a diet today.
Yeah.
It's gonna be nice and skinny.
Mm-hmm.
. That's right.
We'll do this side first so we can see a little spike here.
And there's that piece here, so very wide and curled.
This is the width of it this way, but what you see from the top
is only like that going down.
There's this guy.
Look at the bend.
Look at the angle.
Look at the curl.
Look at, look at the hook around.
So it's amazing to see.
Look at that edge there.
So from the top right that, but it's really like this wide.
Very cool.
And that ridge is so firm.
And so this also is a big problem.
All this hard skin in here.
It is like a callous, it's like a scar from all the pressure between the
nail and the skin, getting all that out, and this is actually gonna allow
the body to fill that up with new healthy tissue and to be nice and flat.
There's gonna be no divot, no gaping.
The body will literally fill us in with new tissue.
So the end of the nail will automatically smoother out.
Right.
So see the white part?
Yep.
Now you can cut straight across and not have to worry about anything hiding, cuz
that is literally the end of the nail.
There's nothing growing past that line that we made.
And then the skin will actually be flat.
So you see how it's the big dip?
It'll be.
So this, that won't be sharp, right?
It won't be sharp.
No.
This end.
Yeah.
No, this hand won't be sharp.
So we're just gonna do a little check to make sure everything underneath clear.
There's no little wide piece left behind
that.
So that's got that one.
And that's basically we add the acid and the corner doesn't grow back.
So, Jonathan, question?
Yeah, of course.
Mayo goes all the way in, right?
Yes.
So when you cut and.
Broke it.
Yeah.
So the path where it breaks off, so, so I didn't leave any piece.
So that's the whole root of the nail.
Okay.
All the way to the very end.
So all this in here, oh wait, you pull it up from the roof, from the root.
Yeah.
, and that's a good question to ask.
So, and good for the camera to see too.
You can see there's a white part.
Yes.
See?
See how the yellow, mm-hmm.
only goes up to here.
Yes.
That's the cuticle.
This is underneath the cuticle.
Okay.
This is the whole ne route.
Okay.
So this.
That's everything.
No, that's everything there and it's, it is like this actually.
So see how much wider you think it is?
But it's actually like that.
And so now the nail cells are exposed in that space.
Okay.
And what we are basically doing is killing them with the acid so they never create
new nails so the roof doesn't move back.
Exactly.
What does acid acid last forever?
Acid lasts forever.
Well, it lasts right now we're, we do the damage in this moment.
Mm-hmm.
, we're basically scarring the cells.
Now, there's a couple mistakes with this procedure that people do.
Number one, there's no blood that you see now, if there's too much.
If there's too much blood, it will wash out the acid.
Oh yeah.
So too much blood is no good.
Right?
So number one problem, the tourniquet is no good or too much bleeding.
The second problem, people sometimes do this, they do it
one more time, and that's it.
It won't, it's not enough to kill the nail.
We do this multiple times, so people sometimes don't add
enough acid to kill the corners.
So that's, if it goes back, it'll be So you're adding acid right now?
Mm-hmm.
. We're adding acid right now.
Okay.
If it grows back, then will grow back in the currently, right?
It's the same way.
Yeah.
Same way.
It'll grow back the same way.
Yeah.
And so that's mistake number two, not enough acid.
And mistake number three is you don't take enough of the nail.
So if you take half of what we.
There's still gonna be that little bit of a curl and it's
gonna cause you discomfort.
So for certain cases, especially yours, with such a big curl, you have to take
a little bit more of a nail for the other toe, let's say, if you ever had
to do it, we just have to take a sliver.
So this is rubbing alcohol, this is what neutralizes the acid.
So no more reaction.
Okay, but it doesn't bullshit.
No.
And it, it, it, it stops the asset from working.
We've applied it enough.
Okay.
To kill the nail cells.
They're not gonna grow back now.
Okay.
All those years and now they're just dead.
It's weird, isn't it?
Yeah.
That that was it.
So what I would say for you in the future is, this is not our normal nail
cutter, but should cut nail is we can go
like that.
Like normal.
Yeah.
Okay.
Just like you normally would cut your nail, you don't have to worry
about cutting the nails short and having problems because we've
eliminated that bad part of the nail.
It's nice to see the white play around.
Yes, so this is how you're gonna take care of it.
You're gonna put the antibiotic, the antibiotic cream
on either side, just enough to cover the corners.
I'm putting a little bit more today you, again, something similar.
So you put on the cream and a bandaid, or you can put the
cream a little bit of gauze.
Mm-hmm.
in the wrap.
It's very normal for it to bleed a little bit more the first one to two days.
Mm-hmm.
especially when it's such a deep ingrown.
So if it bleeds through this Band-Aid, just change it whenever you see that.
Okay.