healthy nails

Restore Healthy Nails with Laser Precision

A Modern Solution for Fungal, Damaged, and Thickened Nails

Nail disorders—whether caused by trauma, fungal infections, or chronic conditions—can be difficult to treat with topical medications alone. At our clinic, we offer an innovative solution: CO₂ laser nail repair combined with laser-assisted drug delivery. This advanced treatment improves nail appearance, enhances medication absorption, and supports natural nail regrowth.

A person wearing blue gloves during a toenail inspection at Parkwood Skin Clinic.

What Conditions Can Laser Nail Repair Help?

Laser nail treatments are especially effective for:

  • Onychomycosis (fungal nail infections)

  • Traumatic nail dystrophy

  • Thickened, discoloured, or ridged nails

  • Persistent inflammation around the nail fold

  • Subungual hyperkeratosis (scaly buildup under the nail)

How CO₂ Laser Works on Nails

The fractional CO₂ laser delivers precise microthermal zones into the nail plate, creating microscopic channels. This serves two purposes:

  1. Resurfacing the nail – smoothing irregularities, thinning thick nails, and enhancing cosmetic appearance.

  2. Enhancing drug penetration – these micro-channels allow deeper absorption of topical antifungal or anti-inflammatory medications.

Laser-Assisted Drug Delivery (LADD)

After CO₂ laser treatment, we apply prescription-grade topical agents directly to the nail and surrounding tissue. The laser-created microchannels allow the medication to bypass the dense nail barrier and reach the affected nail bed.

Common drugs used include:

  • Antifungals (e.g., ciclopirox, terbinafine)

  • Anti-inflammatories (e.g., corticosteroids for chronic inflammation)

  • Keratin softeners for thickened nail beds

This method increases efficacy without systemic side effects and avoids long-term oral medication.

Benefits of CO₂ Laser Nail Treatment

  • ✅ Non-surgical and minimally invasive

  • ✅ Improved drug penetration

  • ✅ Can be used alongside other therapies

  • ✅ Suitable for chronic or resistant nail issues

  • ✅ No downtime — resume daily activities immediately

before and after Co2 laser treatment of healthy nail

Frequently Asked Questions

Is the treatment painful?
Most patients report only mild warmth or tingling. Numbing may be used for comfort.

How soon will I see results?
Nail growth is slow. Improvements typically appear over several months as the new nail grows in.

Can this replace oral antifungals?
In many cases, yes—especially for mild to moderate infections or for those who cannot take oral medications.

Risks, Side Effects, and Considerations​

Patient education and aftercare compliance are critical to minimizing complications. Most side effects are mild, temporary, and manageable with supportive care. While CO₂ laser therapy and laser-assisted drug delivery for nail repair are generally safe and well-tolerated, there are potential side effects and considerations to be aware of:

Common and Mild Side Effects:

  • Redness and swelling around the treated nail fold (usually temporary)

  • Mild discomfort or warmth during the procedure

  • Peeling or crusting of periungual skin

  • Temporary nail fragility or brittleness

  • Dryness or irritation from topical medications post-treatment

Less Common or Delayed Reactions:

  • Prolonged sensitivity or tenderness around the nail bed

  • Subungual bleeding or pinpoint hemorrhages if the laser penetrates deeply

  • Slow regrowth or transient nail dystrophy (usually self-resolving)

 

Rare but Possible Complications:

  • Infection (bacterial or secondary fungal), especially if post-care is neglected

  • Nail matrix injury leading to permanent nail changes (rare with appropriate technique)

  • Allergic reaction or contact dermatitis to the topical medication used after the procedure

 

Precautions and Contraindications:

  • Not recommended in active bacterial paronychia or untreated cellulitis

  • Caution in patients with impaired healing (e.g. diabetics with peripheral vascular disease)

  • Use with care in patients with history of keloid formation


 

What to Expect During Treatment

At Parkwood Skin Clinic, your journey to healthier nails begins with a thorough consultation led by Dr Gilles Laur, an experienced skin and laser physician with a focus on nail and vascular conditions. During this initial visit, we take the time to examine the condition of your nails, identify underlying causes—such as fungal infection, trauma, or inflammation—and assess your suitability for CO₂ laser and laser-assisted drug delivery. We may also use dermatoscopy or recommend nail clippings for laboratory analysis to ensure an accurate diagnosis before proceeding

Once the treatment plan is confirmed, our team will guide you through the laser procedure step-by-step. The CO₂ laser is used to precisely target the nail and create microscopic channels that improve both nail texture and medication absorption. The procedure is performed in a comfortable, sterile clinical setting and typically takes less than 30 minutes. Most patients experience only mild warmth or tingling, and there is no downtime—you can resume normal activity immediately after.

Post-treatment, we apply a specialised topical medication to the treated area, tailored to your specific condition. You’ll be given clear aftercare instructions and a plan for ongoing treatment or follow-up sessions if needed. Our team remains available for any concerns or questions during your recovery. At Parkwood Skin Clinic, our goal is not just to improve the appearance of your nails, but to restore their health and function with the highest standard of personalised care.

We Will Help You Every Step Of The Way​

over 15 years of medical experience