Laser Treatment 

The laser procedure requires a small number of safe, quick treatments with little or no discomfort and is performed as an outpatient service with no anesthesia. The laser light beam has no effect on healthy tissue and treats only the infected area of the nail.

      How does the laser work?

The Laser beam is designed to shine through your nail and destroy the specific pathogens embedded in and under your nail that cause the infection. The nail will not become instantly clear- it takes time to grow out. This is a better result than antifungal medicine, which you take for three months with some risk of side effects to the liver or kidneys.

      How soon will I see improvement?

If the nail bed is healthy the nail plate should grow out in 6-12 months, with healthy new growth visible within the first 3 months.

      How to prepare?

To prepare for a laser treatment for fungal nail infection it is usually advisable to first have a full medical pedicure. Reduction of the thickness of the infected nails will allow the laser light to penetrate as deep as possible to completely kill the infection and the medical pedicure will also remove all dead skin and detritus that may have built up around the nail bed.

Your nails will immediately show a marked improvement and the dead fungus will grow out over time.

      How many treatments will be required?

Further treatments are always required to ensure that no remaining infection remains and four treatments at one to two week intervals will usually give complete clearance.


During the procedure it is essential to maintain very high levels of hygiene of the feet and to discard shoes and socks that may have become infected.

      Does it hurt?

The treatment is painless and to date we have had 100% success rate.

      Do certain sub-populations have a higher incidence?

Yes among elderly patients the incidence is approximately 25%, in diabetic patients of all ages the incidence is also 25%. Among children, this disease is nearly absent.

      What percentage of all nail diseases are caused by Onychomycosis?

About 50%.

      How dangerous is Onychomycosis?

Onychomycosis is usually only of cosmetic concern. However in HIV-positive patients, diabetic patients, or otherwise imunocompromised patients, onychomycosis can present a more serious risk.

      Does laser therapy interact with any drugs?

You should not take drugs which induce photosensitivity before laser therapy other drugs are safe.

      What is the protocol?

The nail is irradiated in 4 treatment sessions, each spaced one week apart. If the nail is thick it needs to be filed down first.

      What is the efficacy of Laser Induced Mycotic Clearance in the treatment of Onychomycosis?

Current clinical studies with a Fotona SP Plus indicate that clearance is 100% on 6 month follow up.

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