Will My Nail Grow Back After Injury? Dermatologist Insights - Dermatology

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Nail problems?


My left middle finger's nail has lifted up due to a nail enhancement procedure.
I have now trimmed the lifted part of the nail, and only half of it remains.
I am concerned that it may not grow back, so I would like to ask if the remaining half of the nail will grow back.
The exposed area feels quite unsettling.

Xiao Xiao, 10~19 year old female. Ask Date: 2016/04/11

Dr. Li Yufen reply Dermatology


Hello: Generally speaking, as long as the nail matrix at the base of the nail is not damaged, new nails will gradually grow out.
If the nail bed is also intact, the new nails will adhere more normally to the nail bed.
It is recommended that if the skin abnormalities persist, you should consult a nearby dermatologist for diagnosis and treatment.
Thank you!

Reply Date: 2016/04/11

More Info


When it comes to nail injuries, it's understandable to feel concerned about whether your nail will grow back properly, especially after an incident like yours where the nail has been partially removed or damaged. The good news is that in most cases, nails do have the ability to regenerate, but the outcome can depend on several factors.

Firstly, nails grow from the nail matrix, which is located under the cuticle at the base of the nail. If the nail matrix is not severely damaged, there is a good chance that the nail will grow back. However, if the injury has affected the nail matrix, the regrowth may be altered, leading to a nail that is misshapen or discolored.
Typically, fingernails grow at a rate of about 1/8 inch (approximately 3 mm) per month. Given this growth rate, it can take several months for a nail to fully regrow, especially if a significant portion has been lost. In your case, since you mentioned that only half of the nail remains, you can expect it to take some time for the nail to grow back completely.
It's also important to consider the condition of the nail bed (the skin underneath the nail). If the nail bed is intact and healthy, this will support proper nail regrowth. However, if there is any injury to the nail bed, such as scarring or infection, this could impact the nail's ability to grow back normally.

In the meantime, here are some tips to care for your injured nail and promote healthy regrowth:
1. Keep it Clean and Dry: Make sure to keep the area clean to prevent infection. You can gently wash the area with mild soap and water, and then pat it dry.

2. Moisturize: Applying a gentle moisturizer or cuticle oil can help keep the surrounding skin healthy and may promote better nail growth.

3. Avoid Trauma: Protect the injured nail from further trauma. If necessary, consider using a bandage or a protective covering to shield it from bumps or pressure.

4. Monitor for Infection: Watch for signs of infection, such as increased redness, swelling, warmth, or discharge. If you notice any of these symptoms, it’s important to consult a healthcare professional.

5. Healthy Diet: Ensure you are consuming a balanced diet rich in vitamins and minerals that support nail health, such as biotin, zinc, and protein.

6. Patience: Nail regrowth takes time, so be patient. It can be frustrating to wait, but most nails will eventually return to their normal appearance.

If you have any concerns about the healing process or if the nail does not seem to be growing back as expected, it would be wise to consult a dermatologist. They can assess the injury and provide specific recommendations or treatments if necessary.

In summary, while it is common to worry about nail regrowth after an injury, most nails do have the capacity to grow back, provided that the nail matrix and nail bed are not severely damaged. With proper care and attention, you can support the healing process and encourage healthy nail regrowth.

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