Is laser treatment really effective for nail diseases?

Rapidly developing laser technologies in the field of dermatology have emerged as an important treatment option for nail diseases in recent years. Laser treatment has become a non-invasive, effective and safe alternative for many problems such as onychomycosis (nail fungus), which is known for its difficult treatment processes, as well as nail psoriasis, onychodystrophy and ingrown toenails.

The Role of Laser in Onychomycosis (Nail Fungus) Treatment
Onychomycosis is a common disease that can cause pain, infection and a decrease in quality of life in addition to aesthetic concerns in the nails. In addition to topical and systemic antifungal treatments, promising results are obtained especially with Nd:YAG, CO₂, diode and Q-switched lasers.

Especially the long-pulsed 1064 nm Nd:YAG laser can suppress fungal growth thanks to its deep penetration into the nail bed. In Kozarev's study, complete clinical recovery was achieved in the 6th and 12th months with this method. Q-switched Nd:YAG laser targets fungal cells with its short pulse duration and high energy capacity; studies have reported mycological cure rates of over 95%.

Other Laser Types
CO₂ laser facilitates the passage of topical drugs by creating holes in the nail plate with its ablation effect.

870/930 nm diode laser accelerates healthy tissue development in the nail by preventing colony formation.

Fractional CO₂ laser can provide up to 92% clinical success when used in conjunction with topical treatments.

Laser Use in Nail Psoriasis
Nail involvement is quite common in patients with psoriasis. Pulsed-dye laser (PDL) and intense light (IPL) treatments have led to significant improvements in NAPSI scores by targeting vascular structures in the nail bed. Studies have shown good results in both onycholysis and subungual hyperkeratosis.

Laser Matricectomy: Modern Solution for Ingrown Nails
Partial matrixectomy is quite effective in the treatment of ingrown nails. Although this procedure is traditionally performed with chemicals, successful results with fewer complications have been achieved in recent years with the use of CO₂ laser. Matricectomy performed with laser both shortens the recovery period and reduces the recurrence rate.

Laser in Onychodystrophy and Traumatic Nail Disorders
Although not common, positive results have been obtained with fractional CO₂ laser in onychodystrophy and traumatic nail disorders. Its combined use with topical steroids can provide cosmetically acceptable improvement.

Conclusion: Laser Begins a New Era in Nail Diseases
The increasing use of laser systems in the treatment of nail diseases adds a new dimension to dermatological treatments. Clinical studies show that different types of lasers are effective in diseases such as onychomycosis, psoriasis, ingrown nails and onychodystrophy. With the right device, the right parameters and the control of a specialist physician, laser treatment can be successful in a shorter time and with fewer side effects compared to classical methods.

If you are looking for a scientific, safe and modern method for your nail health; Ankara Life Polyclinic is at your service with its expert team and technological infrastructure.
Laser treatments applied under the leadership of Fatma Yıldız are planned individually and aimed for maximum benefit.

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