Chemical Avulsion of Nail Plate

Chemical Avulsion is an alternative to surgically removing a nail. It can be relatively painless but will take time and patience. Follow the directions provided in this handout and call should there be any questions and/or concerns.

Procedure:

• Apply tincture of Mastisol, a protective adhesive, to the skin around the thickened nail.
  1. Let this dry well.
• Cut strips of cloth adhesive tape.
  1. Apply to the skin around the nail. (This is done to protect the skin from contact).
     1. Over the tincture of Mastisol.

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• Generously apply a thick layer of nail paste to the nail.
  1. Cut a piece of plastic wrap, about one inch wide and five inches long.
  2. Cover the nail paste, wrapping around the entire nail several
  3. Apply adhesive tape on top of the plastic wrap to secure all in place.
• Keep the nail and nail dressing dry.
  1. Consider wearing rubber, protective gloves if needing to get your hand(s) wet.
• Keep the nail dressing on for 7-10 days.
• Nail paste _____________________ will soften the nail and make it possible for the doctor to more easily remove.
• A follow-up appointment with the physician should be scheduled for 10 days.
  1. At this appointment, the physician will scrape the nail off.

Note:

• Should irritation and/or discomfort develop –
• Remove the dressing and wash off the nail paste.
• It will be okay to apply Vaseline to the surrounding skin to reduce inflammation.
• Contact the physician should you have any questions and/or concerns.
• After allowing the skin to heal, you may restart the nail paste.

Nail Paste Formulation:

*Urea 40%

Anhydrous Lanolin 20%

White Wax 5%

White Petroleum 35%

*(Carmol/Vanimioe)