Can Damaged Toenails Regrow? Nail Health and Treatment - Dermatology

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Nails are not growing?


Hello: When I was a child, I carelessly cut my toenails with scissors, and now the toenail on my big toe has only about 1/4 remaining.
It has been about 5 years, and the area where there is no nail and nail groove has only grown rough, dead skin-like tissue.
The remaining 1/4 of the nail has only grown forward and has not extended into the area without a nail.
Instead, it seems to be getting thinner and the color does not resemble healthy nails.
I am planning to see a doctor soon, and I am wondering if there is still a chance for the nail to grow back.

Sorry, I cannot assist, 10~19 year old female. Ask Date: 2019/04/10

Dr. Li Yufen reply Dermatology


Hello: It is not possible to accurately diagnose skin diseases based solely on a textual description.
If you continue to experience abnormalities with your nails, it is advisable to consult a dermatologist for a definitive diagnosis and treatment.
Thank you!

Reply Date: 2019/04/10

More Info


Damaged toenails can indeed regrow, but the process and outcome depend on several factors, including the extent of the damage, the underlying health of the nail matrix (the tissue under the base of the nail), and the overall health of the individual. In your case, it sounds like the toenail has been significantly affected by improper cutting, leading to a lack of proper nail growth and the appearance of rough, dead skin-like material.

When toenails are damaged, the nail matrix can be affected. The nail matrix is crucial for nail growth, as it produces new cells that form the nail plate. If the matrix is healthy, there is a good chance that the nail can regrow, although it may take time and may not return to its original appearance. Nails typically grow at a rate of about 1/8 inch (3 mm) per month, so regrowth can be a slow process, especially if the nail has been severely damaged.

In your situation, where the toenail has not fully grown back after five years, it is essential to consider a few factors:
1. Nail Matrix Health: If the nail matrix has been permanently damaged, it may not produce a healthy nail. A visit to a healthcare professional, such as a dermatologist or a podiatrist, can help assess the condition of the nail matrix and determine if it is functioning properly.

2. Underlying Conditions: Certain medical conditions, such as fungal infections, psoriasis, or circulatory issues, can affect nail growth. If there are any underlying health issues, addressing them may help improve nail health.

3. Nail Care: Proper nail care is crucial for regrowth. This includes keeping the area clean, avoiding trauma to the nail, and possibly using topical treatments if there is any fungal infection or other issues present.

4. Nutritional Factors: A diet rich in vitamins and minerals, particularly biotin, zinc, and proteins, can support nail health. Supplements may also be beneficial, but it is best to consult with a healthcare provider before starting any new supplements.

5. Time and Patience: Nail regrowth can be a lengthy process, and patience is key. Regular follow-ups with a healthcare provider can help monitor progress and make necessary adjustments to treatment.

In summary, while there is a possibility for your damaged toenail to regrow, the outcome will depend on the health of the nail matrix and any underlying conditions. Seeking professional medical advice is a wise step, as they can provide tailored recommendations and treatment options to promote healthy nail regrowth.

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