Wedge Resection (Ingrown Toenail Treatment)
An ingrown toenail occurs when the edge of the nail grows into the surrounding skin, causing pain, redness, swelling, and sometimes infection. When conservative measures aren’t enough, a minor procedure called a wedge resection can provide lasting relief.
What is a wedge resection?
A wedge resection is a minor surgical procedure that removes the offending edge of the toenail along with a small portion of the nail bed. It is performed in our on-site procedure room under local anaesthetic by a GP experienced in skin and nail procedures.
When it might be recommended
- Recurrent ingrown toenails that haven’t responded to conservative treatment
- Ongoing pain or swelling around the nail
- Repeated nail-bed infections
- Significant disruption to walking, work, or sport
What’s involved
Once the toe is numbed with local anaesthetic, the affected portion of the nail is removed. In most cases a chemical (phenol) is applied to the nail matrix to prevent regrowth in that area. The procedure usually takes 30–45 minutes including time for the anaesthetic to take effect.
After your procedure
Your doctor will give you written aftercare instructions, including how to dress the wound, how to keep the foot clean and dry, and when to come back for review. Most people are able to walk straight after the procedure, though some discomfort and a few days of reduced activity is normal. Wedge resections are also occasionally used for the removal of small skin lesions — your GP can advise on the best approach for your situation.
A consultation with one of our GPs is required to assess whether a wedge resection is the right option for you.
