Nail Issues: Is Redness After Surgery Normal? - Surgery

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Nail problems


Hello, I had a correction procedure for paronychia, and the doctor administered anesthesia.
However, today I noticed that the area next to the injection site has turned red and purple.
When I press on the area below the red and purple spot, it feels like bone.
Is this normal?

Ru Ru, 20~29 year old female. Ask Date: 2022/01/19

Dr. Li Zhonghuai reply Surgery


Hello! The tissue beneath the nail bed is minimal, almost in contact with the phalanx.
As long as the wound does not get infected, everything will be fine.
Take care! Changhua Hospital is concerned about you!

Reply Date: 2022/01/19

More Info


After undergoing surgery for nail issues such as paronychia, it is not uncommon to experience some degree of redness and swelling around the surgical site. However, the specific symptoms you are describing—redness and a purplish hue near the area where the anesthetic was administered—warrant careful consideration.

Firstly, it is important to understand that redness and swelling are typical responses to surgical trauma. When the skin and underlying tissues are cut or manipulated during surgery, the body initiates an inflammatory response to promote healing. This response can manifest as redness, warmth, swelling, and sometimes even bruising, particularly if there was any bleeding during the procedure. The purplish color you are observing could be indicative of bruising, which occurs when small blood vessels break and leak blood into the surrounding tissues.

However, while some redness and swelling can be normal, there are certain signs that may indicate complications, such as infection or excessive inflammation. If the redness is accompanied by increasing pain, warmth, or discharge from the surgical site, these could be signs of an infection. Additionally, if the area feels hard or if you experience fever or chills, it is crucial to seek medical attention promptly.

The fact that you can feel the bone beneath the area of redness is also noteworthy. If the redness is localized and does not extend significantly beyond the surgical site, it may simply be a part of the healing process. However, if the redness is spreading or if you have concerns about the integrity of the underlying structures, it is advisable to consult your surgeon or healthcare provider for a thorough evaluation.

In terms of post-operative care, it is essential to follow your doctor's instructions regarding wound care, activity restrictions, and signs of complications. Keeping the area clean and dry, avoiding unnecessary pressure, and monitoring for any changes can help facilitate healing and prevent complications.

In summary, while some redness and swelling after nail surgery can be normal, it is crucial to monitor the situation closely. If you notice any concerning symptoms or if the redness worsens, do not hesitate to reach out to your healthcare provider for further evaluation and guidance. Early intervention can often prevent more serious complications and ensure a smoother recovery process.

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