Ingrown toenail? Laser surgery in Berlin, gentle and lasting

At Dr. Homssi's practice in Berlin, a narrow strip of the ingrown nail edge is removed under local anaesthetic. The corresponding growth zone of the nail root is then precisely ablated with a medical laser. The laser works precisely, with little bleeding, and reduces germs. As a result, the wound heals faster, and the success rate is around 90%.

No. The procedure is carried out under local anaesthetic and is painless during treatment. Because the laser is gentler on tissue than classic scalpel procedures, discomfort after treatment is considerably less. Most patients only need a mild painkiller for 1–2 days.

The procedure itself takes about 15–25 minutes per toe. Including the pre-procedure consultation, the time for the Oberst nerve block to take effect, laser ablation and dressing, you will be at our Berlin practice for around 45–60 minutes.

Most patients are able to go about their daily lives again by the next day. Complete wound healing usually takes 1–2 weeks. Sport and closed shoes are possible again after about 2–3 weeks.

In around 90% of cases, the problem is permanently resolved after targeted laser ablation of the nail growth zone (matrix cauterisation); in no more than 10% does the nail grow in again. This makes laser surgery one of the most lasting methods for recurring ingrown toenails (unguis incarnatus).

The dressing must be kept dry for the first 24 hours. After that, daily antiseptic foot baths (e.g. with octenidine or povidone-iodine) and dressing changes. Wound check at our Berlin practice after 3–5 days. Complete epithelialisation usually occurs after 10–14 days.

Yes. The procedure is carried out as an outpatient under local anaesthetic (Oberst nerve block). You are awake throughout and can leave the practice immediately after treatment. We recommend travelling home by taxi or public transport; you can usually drive again from the following day.

Yes. The laser method is particularly advantageous for people with diabetes: minimally invasive, with little bleeding and with an antibacterial laser effect, which is a key point in diabetic neuropathy and angiopathy. A stable metabolic condition is a prerequisite; we coordinate aftercare closely with your GP or diabetologist.

Laser matrix cauterisation can be performed safely from adolescence (approx. 14 years). For younger children, we assess each case individually and initially prefer conservative methods such as nail braces. The method is suitable for adults of all ages.

Depending on the findings, laser treatment is an individual service. As a rule, local anaesthetic, laser matrix cauterisation, dressing and one follow-up check are included. If both sides of the nail or several toes are affected, we will draw up a transparent cost estimate in advance based on the German medical fee schedule (GOÄ).