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The basis of laser treatment is to try to heat the nail bed to these temperatures in order to disrupt fungal growth. [49] As of 2013 research into laser treatment seemed promising. [ 2 ] There is also ongoing development in photodynamic therapy , which uses laser or LED light to activate photosensitisers that eradicate fungi.
A fractional laser delivers laser light to the skin. Hundreds or thousands of laser pinpoints may be used per square inch, leaving healthy skin between the ablated areas. Complications observed in a study of 961 treatments included acne and herpes outbreaks. [6] There have been anecdotal negative accounts of bad scarring and hyperpigmentation. [7]
Nail inspection can give hints to the internal condition of the body as well. Nail disease can be very subtle and should be evaluated by a dermatologist with a focus in this particular area of medicine. A nail technician may be the first to note a subtle change in nail health. [2] [3] [4]