PLASTIC & RECONSTRUCTIVE SURGERY
Nail Bed Repair
Surgical repair of nail bed injuries, most often caused by crush injuries to the finger or toe. Performed by Mr Rafael Acosta-Rojas (MED0001642629) at our Geelong clinic.
About the Condition
The nail bed is a thin layer of tissue beneath the nail that supports its growth and protects the underlying bone. Nail bed injuries are common and are most often caused by the finger or toe being crushed — for example, in a door or by machinery. They can range from bruising beneath the nail (a subungual haematoma) to lacerations of the nail bed itself.
If you suspect a nail bed injury, seek medical attention promptly. Early treatment helps reduce the risk of complications and supports proper healing.
Treatment Approach
Treatment depends on the severity of the injury. Minor injuries may be managed conservatively, without the need for surgery. More significant injuries — particularly lacerations or where the nail has been displaced — generally require the nail plate to be removed so the nail bed can be repaired with fine, dissolvable sutures. Mr Acosta-Rojas will assess your injury and recommend the most appropriate approach.
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Your first step is an assessment with Mr Acosta-Rojas to determine the extent of the injury, which may include an X-ray to check for an underlying fracture. Depending on severity, treatment may involve wound care alone, or removal of the nail plate to repair the nail bed underneath using fine, dissolvable sutures under local anaesthetic.
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As with any surgical repair, nail bed repair carries risks. These can include, but are not limited to:
Infection
Scarring of the nail bed, which can affect how the nail grows back
Changes to the shape of the new nail (such as ridging or splitting)
Reduced sensation at the fingertip
The possibility that the nail may not grow back exactly as it did before
Mr Acosta-Rojas will discuss the risks relevant to your specific injury during your assessment.
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Any associated fracture may need to be splinted for a period following repair. It can take several months for the nail to grow back fully. You'll be given written aftercare instructions covering wound care, along with follow-up appointments to monitor healing.
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Many nail bed injuries heal well with appropriate treatment, though individual results vary — injuries affecting a larger portion of the nail bed generally take longer to heal and carry a higher chance of changes to how the nail regrows. Mr Acosta-Rojas can discuss realistic expectations for your specific injury during your assessment.
Costs will be set out in writing before you proceed. Nothing is finalised until you've had the chance to review it in full.
Arrange Your Consultation
Start with a conversation with our team about your goals and whether this procedure is right for you.
