How Long Does It Take for Toenails to Regrow After Partial Removal?

After partial nail avulsion due to paronychia, it typically takes about 4 to 6 months for the nail to fully regrow. However, the exact time may vary depending on individual healing rates and nail growth patterns?

Hello Dr.
Lee: About a month ago, I went to see a surgeon to have part of my big toe nail removed due to onychocryptosis (ingrown toenail) (approximately 1/5 to 1/6 of the nail).
Currently, there is no wound, but it seems that the nail has not grown back yet, and the surrounding area looks a bit hollow.
Is this normal? How much longer will it take for a completely new nail to grow back?

Mr. Chen, 30~39 year old female. Ask Date: 2016/01/11

Dr. Li Zhonghuai reply Surgery

Hello! It may take as little as one month or as long as one to two months.
Some people may first notice fine strands of nail growth, while others may see growth at the proximal nail.
Please be patient! Changhua Hospital cares about you!

Reply Date: 2016/01/11

More Info

When it comes to toenail regrowth after partial removal, it is essential to understand the anatomy of the nail and the factors that influence its growth. Toenails typically grow at a rate of about 1 to 2 millimeters per month. Therefore, after a partial nail removal, it can take several months for the nail to regrow fully, depending on the extent of the removal and individual health factors.

In your case, since you had approximately one-fifth to one-sixth of your toenail removed due to ingrown toenail (onychocryptosis), you can expect the regrowth process to take anywhere from 4 to 6 months for the nail to appear complete again. However, this timeline can vary based on several factors, including your age, overall health, nutritional status, and any underlying conditions that may affect nail growth, such as diabetes or circulatory issues.

It is also normal for the area around the nail to appear "empty" or less filled in during the regrowth phase. This is because the nail matrix, which is the tissue under the base of the nail that produces new nail cells, may still be healing or adjusting after the procedure. As the nail grows out, you should see it gradually filling in and becoming more uniform in appearance.

If you notice any signs of infection, such as increased redness, swelling, or discharge from the nail bed, it is crucial to seek medical attention. Additionally, if the nail does not seem to be growing at all after a few months, or if you experience persistent pain or discomfort, it would be wise to consult with a healthcare professional for further evaluation.

In the meantime, taking care of your feet and nails is essential. Here are some tips to promote healthy nail regrowth:
1. Keep the Area Clean and Dry: Proper hygiene is vital to prevent infections. Clean the area gently and keep it dry.

2. Avoid Tight Footwear: Wearing shoes that are too tight can put pressure on the toenail and hinder its growth. Opt for comfortable, well-fitting shoes.

3. Nutrition: Ensure you are consuming a balanced diet rich in vitamins and minerals, particularly biotin, zinc, and protein, which are essential for nail health.

4. Moisturize: Applying a moisturizer to the nail bed can help keep the skin healthy and may promote better growth.

5. Patience: Nail regrowth takes time, and it is essential to be patient during this process.
In conclusion, while it may feel concerning that your toenail seems to be growing slowly, it is a normal part of the healing process after partial removal. Monitoring the area for any unusual changes and maintaining good foot hygiene will help ensure a smooth recovery. If you have any further concerns or questions about your specific situation, do not hesitate to reach out to your healthcare provider for personalized advice.

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