Nail Issues: When to See a Dermatologist for Care - Dermatology

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Nail problems


Hello Doctor: I usually have a habit of getting gel manicures, and recently when I removed the polish, I noticed that the tips of my nails seem to be slightly lifted (similar to an ingrown nail, but not as severe).
I have a history of nail biting since childhood, so I’ve noticed that my nails don’t grow very flat as I got older.
I’m not sure if this condition is caused by improper nail polish removal.
Should I go to a nearby hospital to have a dermatologist examine it? Thank you, Doctor, for your hard work.

peipei, 30~39 year old female. Ask Date: 2024/03/24

Dr. Wu Yuxin reply Dermatology


First, consult a dermatologist for an examination to check for any abnormalities.

Reply Date: 2024/03/24

More Info


When it comes to nail issues, particularly those arising from habits like nail biting or the use of gel nails, it is essential to understand the potential underlying causes and when to seek professional help. Your concern about the slight lifting of the nail at the tip, resembling a condition known as onycholysis (where the nail separates from the nail bed), is valid and warrants attention.

Firstly, it’s important to recognize that the health of your nails can be influenced by various factors, including trauma, chemical exposure, and underlying health conditions. The use of gel nails, while popular for their aesthetic appeal, can sometimes lead to nail damage if not applied or removed properly. Improper removal techniques, such as peeling or prying off the gel, can cause trauma to the nail plate, leading to issues like lifting or even infections.

Given your history of nail biting, this could also contribute to the irregular growth and shape of your nails. Nail biting can damage the nail matrix (the tissue under the base of the nail), which is responsible for nail growth. Over time, this can lead to permanent changes in the nail’s appearance and structure.

In your case, since you’ve noticed a change in your nail after removing gel polish, it would be prudent to consult a dermatologist. A dermatologist specializes in skin, hair, and nail conditions and can provide a thorough examination to determine the cause of the nail lifting. They can assess whether it is a benign issue related to the gel removal or if there are other underlying conditions that need to be addressed.

When you visit the dermatologist, they may perform a physical examination of your nails and ask about your nail care routine, any recent changes in products used, and your nail biting habit. They might also inquire about any discomfort, discoloration, or other symptoms you may be experiencing. Depending on their findings, they may recommend treatments such as topical antifungal medications if there’s a suspicion of a fungal infection, or they may suggest ways to improve nail health through proper care and maintenance.

In the meantime, here are some general tips to help maintain healthy nails:
1. Avoid Trauma: Be gentle with your nails. Avoid using them as tools to open things or scrape surfaces.

2. Proper Removal of Gel Nails: If you continue to use gel nails, ensure they are removed properly by a professional. Soaking them in acetone and gently pushing off the gel is the recommended method.

3. Moisturize: Keep your nails and cuticles moisturized. Use a good quality cuticle oil or hand cream to prevent dryness.

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

5. Limit Exposure to Chemicals: If you frequently use nail polish or other nail products, consider using those that are free from harsh chemicals.

6. Consider Professional Help: If you find it difficult to stop biting your nails, consider seeking help from a therapist or counselor who can provide strategies to break the habit.

In conclusion, while it may be tempting to wait and see if the issue resolves on its own, consulting a dermatologist is the best course of action to ensure your nails remain healthy and to prevent any potential complications. Early intervention can often lead to better outcomes, so don’t hesitate to seek professional advice.

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