Recovery After Nail Removal: What to Expect and Normal Healing Signs - Surgery

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Recovery after nail avulsion?


About two weeks ago, I had about one-fifth of my nail removed due to paronychia.
It is currently scabbing over and I'm waiting for it to fall off gradually.
However, I noticed that some of the scab has already come off, and the skin is tightly adhered to the remaining edge of the nail, growing back to the normal nail height.
There is still a bit of redness and swelling, but there is no fluid oozing out, and it doesn't hurt when I touch it.
I would like to know if this is normal and if my nail will still grow back to its normal size.

Yun, 20~29 year old female. Ask Date: 2020/09/15

Dr. Li Zhonghuai reply Surgery


Hello! The newly grown nails appear membranous and will gradually thicken.
Once there is no more drainage, you can come into contact with tap water.
Take care! Changhua Hospital cares about you!

Reply Date: 2020/09/15

More Info


After undergoing a partial nail removal due to paronychia, it is understandable to have concerns about the healing process and what to expect moving forward. Based on your description, it seems that you are currently in the healing phase, which typically involves the formation of a scab and the gradual regrowth of the nail.
Firstly, the presence of a scab is a normal part of the healing process. It serves as a protective barrier over the exposed area, helping to prevent infection while new tissue forms underneath. The fact that you have noticed some redness and slight swelling around the area is also common, especially as the body responds to the healing process. As long as there is no discharge of fluid, significant pain, or increasing redness, these symptoms are generally not a cause for concern.

Regarding the regrowth of your nail, it is indeed possible for the nail to grow back to its normal size and appearance. The nail growth rate can vary from person to person, but on average, fingernails grow about 1/8 inch (approximately 3 mm) per month. Since you mentioned that the area is healing well and there is no pain, it is a positive sign that your nail matrix (the tissue under the base of the nail) is functioning properly.
However, it is important to monitor the healing process closely. Here are some normal signs of healing to look for:
1. Decreased Redness and Swelling: Over time, you should notice a reduction in redness and swelling around the nail bed. If the redness persists or worsens, it may indicate an infection.

2. No Discharge: As you mentioned, the absence of fluid discharge is a good sign. If you start to see pus or any unusual discharge, it would be wise to consult a healthcare professional.

3. Pain Management: A little tenderness is normal, but if you experience increasing pain, it could be a sign of complications.

4. Nail Growth: You should start to see the nail growing back over the next few weeks. The new nail may initially appear different in texture or color, but it should normalize as it continues to grow.

5. Skin Condition: The skin around the nail should gradually return to its normal color and texture as healing progresses.

If you have any concerns about the healing process or if you notice any signs of infection (such as increased redness, swelling, pain, or discharge), it is crucial to seek medical advice. In some cases, a healthcare provider may recommend topical antibiotics or other treatments to ensure proper healing.

In conclusion, based on your description, it sounds like your healing process is progressing normally. Continue to keep the area clean and protected, and allow your body the time it needs to heal. If you have any doubts or if the situation changes, do not hesitate to reach out to a healthcare professional for further evaluation.

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