I want to reattach my nail to the skin?
Hello, doctor.
When I was a child, I heard that not trimming the edges of my nails could cause them to dig into the skin and get injured, so I started cutting off the edges of my nails.
However, as I grew older, the sides of my nails began to split downwards more and more.
I'm worried that the sides will separate in the future, and it's also easy for the sharp edges to scrape against things since they aren't attached to the skin.
This makes it inconvenient for me to grow my nails long.
My thumbs and index fingers are the most troubling for me.
Therefore, I would like to ask if there is a method to reattach the edges of the nails to the skin, or if this is a normal phenomenon.
Below are images of my current nail condition, with the problematic areas circled in the second image.
Every finger has this issue: https://i.imgur.com/K49IBtf.jpg https://i.imgur.com/I124pid.png I found some images online showing nails attached to the skin: http://img.tagsis.com/201705/6981.jpg http://talk.wed168.com.tw/discimg/20108/201083016123410057.jpg Thank you!
Niming, 20~29 year old female. Ask Date: 2017/11/26
Dr. Wu Yuxin reply Dermatology
Medical regulations stipulate that "physicians must personally examine patients before providing treatment or prescribing medications," and therefore, online diagnosis is also not permitted.
Reply Date: 2017/11/26
More Info
Nail separation, also known as onycholysis, is a condition where the nail plate separates from the nail bed, and it can be a source of discomfort and concern for many individuals. Your experience of trimming the edges of your nails to avoid injury is understandable, but it seems that this practice may have contributed to the issues you are now facing.
Firstly, it is essential to understand that nails are composed of a protein called keratin, and their health can be influenced by various factors, including genetics, nutrition, and personal grooming habits. When nails are trimmed too aggressively, especially at the sides, it can lead to irregular growth patterns and separation. This can create an environment where the nail is more prone to injury and further separation.
To address your concerns about nail separation and promote healthy growth, here are several recommendations:
1. Gentle Trimming: Instead of cutting the sides of your nails too short, consider using a nail file to shape them gently. This will help prevent sharp edges that can snag on objects and cause injury. Aim to keep the nails at a manageable length without cutting into the sides.
2. Moisturization: Keeping your nails and cuticles moisturized can help improve their overall health. Use a good quality hand cream or cuticle oil regularly to prevent dryness, which can exacerbate separation issues.
3. Nutritional Support: Ensure that your diet is rich in vitamins and minerals that promote nail health. Biotin, zinc, and protein are particularly important for strong nails. Foods like eggs, nuts, seeds, leafy greens, and fish can be beneficial.
4. Avoid Trauma: Be mindful of activities that may put stress on your nails. Wearing gloves while doing household chores or engaging in activities that may lead to nail injury can help protect them.
5. Consult a Specialist: If the separation persists or worsens, it may be wise to consult a dermatologist or a podiatrist who specializes in nail health. They can assess your nails and provide tailored advice or treatments. In some cases, they may recommend topical treatments or procedures to help with nail adhesion.
6. Avoid DIY Fixes: While it may be tempting to try to adhere the nail back to the nail bed using adhesives or other methods, this is generally not recommended. Such practices can lead to infections or further complications. It’s best to seek professional advice for any procedures involving your nails.
7. Monitor for Infections: Keep an eye on the affected nails for signs of infection, such as redness, swelling, or discharge. If you notice any of these symptoms, seek medical attention promptly.
In conclusion, while nail separation can be concerning, there are several proactive steps you can take to promote healthy nail growth and minimize issues. Remember that nails grow slowly, and it may take time to see improvements. By adopting gentle grooming habits, maintaining a nutritious diet, and seeking professional guidance when necessary, you can work towards healthier nails. If you have any further questions or concerns, don’t hesitate to reach out for more personalized advice.
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