The following program contains images
of an actual surgical procedure
that may be graphic and disturbing.
Parents are advised that these images
may not be suitable for young children.
Alright, our next question actually comes from one
of our very own Associate Producers, Olivia,
who is back in the procedure room
with Podiatrist Dr. Ali Sadrieh.
So, Olivia tell us what's going on?
So, I've got a confession to make.
For as long as I can remember I've had an extra toenail
on both of my pinky toes.
It's embarrassing and I've always worn closed toed shoes.
And honestly, it kind of hurts.
So, I just was wondering is there anything
that I can do to fix this?
Well, your feet are in the right hands.
From the procedure room,
Dr. Sadrieh tell us what you're going to do.
Well, Olivia's got an interesting problem.
This is a split nail, it's actually not an extra nail.
It's a split nail and it's caused by a variety of issues.
Usually, by shoes rubbing on the side of the nail,
some trauma maybe,
a poorly groomed nail at a pedicure place.
Sometimes dancers, athletes,
people that cause constant trauma on the toenail
will cause that split.
And then once it splits back to the root area,
that portion of the nail always grows irregularly,
becomes like a bad portion of the nail.
'Cause nail is made from keratin, like hair,
and if you traumatize it, it never comes back the same way.
So, we call it dystrophic nail.
So, what we're gonna do today is do a procedure for her
to remove that bad portion.
You can see right out here,
this area is the disrupted portion she's complaining of.
The split's right here,
so we're actually gonna remove that
with the associated root surgically,
stitch it up and it will never come back,
and actually look beautiful.
How long will it take her to heal?
It shouldn't, just because the skin healing
is all we need to do.
So, once we've removed the root,
once the skin stitches,
usually about a week to two depending on the person,
then she's all done and she can wear shoes
and function during the recovery process.
So, she's already been injected,
she's not feeling anything.
She's already numb.
The first step of the procedure is we're gonna lift up
the skin around the nail to make sure we have a full area.
You feeling any pain?
Just pressure, fantastic.
Are you gonna say it or me?
Don't do this at home.
Do not do this at home, please.
Visit your local podiatrist, that's the right thing.
There might be a little bit of blood
for those who are squeamish.
And we're gonna push--
I think we have a lot of squeamish people in the audience.
As you can see,
the nails kind of already separated by itself.
It's like it's saying get me out of here,
I do not like my neighbor.
And we're gonna do that for her right now.
Now we're gonna use a little Beaver blade
and just kind of splice it all the way up,
nice and pretty.
And you don't feel anything, right?
Maybe a little pressure, but no pain?
I don't feel anything.
So, what I'm gonna do is I'm gonna make a little incision
in the skin, too, right here,
and go all the way deep to the skin, so right there.
And I'm gonna incise that so we can actually flap
this whole thing out together.
Nice and neat, this is sterile so we don't wanna.
There we go, nice and clean.
Are you watching Olivia?
I'm trying not to.
Good idea, good idea.
Well, for those of the people watching just while
he does a little more technical work.
Your nail is actually made at the very base,
beyond the cuticle, that's called the matrix of the nail.
So, that's what he has to take out right now along with--
That's like a tooth coming out.
It is like a tooth coming out.
Let me show you the culprit.
It went right on out.
This is the problem right here.
And if you take a close-up of this segment here,
what we have is not only nail inside of it
but also the matrix, the little white tissue on the edge.
And that's what's causing all the trouble
from this nail growing.
The matrix is out with it, with the nail,
with a segment of skin
which we're gonna stitch for you right now.
So, what we did if you take a look at the finished result,
we took a flap of skin out, there it is.
So, once we close it,
the nail will stay the size that we left.
So the portion that we left in there is gonna stay,
the rest of the nail will not grow.
So, this is permanent.
So, that additional part of the nail will not grow back,
and that's what keeps it capped.
so let's do a few stitches in here for you,
one or two stitches.
Dr. Sadrieh, do you worry about infection,
just given where it is on the foot
and the slow circulation in that area?
So, we sterilized the foot before the procedure
so she's not gonna get an infection
from our procedure itself.
We're gonna use a silver dressing on top of it
so it prevents any kind of bacterial growth
and so she shouldn't get an infection.
We're gonna see her about a week
after for a dressing change,
and that way we'll stop any kind
of bacterial process in the area.
There we go.
A work of art.
We liked it. Yes.
Thank you so much Dr. Sadrieh.
How do you feel Olivia?
I feel good, I feel great.
You know, it looks really good.
I'm so excited to have cute toes. (laughs)
Well, thanks again both of you.