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Cutera GenesisPlus

Foot and Ankle L.L.P. would like to introduce a new laser treatment for unsightly toenail fungus. The genesisplus laser has been cleared by the FDA to be both a safe and effective solution for the treatment of toenail fungus. See below for additional information. Call for a consultation with our board certified doctors at one of our convenient offices to discuss your treatment options. The genesisplus laser is also effective for the treatment of warts, spider views and scar revision.

Nail fungus, also called onychomycosis, is a common condition estimated to affect up to 10% of the population worldwide. It can cause nails to become yellow or discolored. As the infection advances the nail can become thick, brittle and separate from the nail bed. It can also cause pain when wearing shoes or walking. 

Below is some information about the causes of nail infections and available treatment options. The benefits, disadvantages and risk of each treatment is discussed. You should discuss your medical condition and treatment with your doctor.   

What is GenesisPlus? 

GenesisPlus is a Nd:YAG 1064nm laser that has been cleared by the FDA to be both safe and effective solution for the treatment of nail infection (onychomycosis),more commonly known as toenail fungus. The laser is also a safe and effective treatment for scar reduction, warts and spider views. 

What causes nail infection? 

Dermatophytes are the fungi most commonly responsible for causing the condition. They are specialized organisms that live off keratin which is the main component of nails and skin. The most common fungi that cause nail infection are Trichopython rubrum, trichophyton mentagrophytes, and Candida albicans. Everyone is at risk for infection because fungus is present everywhere in the environment. 

Where does nail infection come from? 

Nail infection is caused by contact with dermatophytes which are everywhere in our environment. Common sources of infection include swimming pools, public showers, gyms and nail spas. Tight fitting shoes and nail trauma can also lead to infection. Genetic susceptibility, poor health and increasing age are also factors that increase the risk of nail infection.  

What are the symptoms of nail infection? 

You may suffer from nail infection if you have one or more of the following symptoms: 

-Discolored nails

-Yellow streaks under the nail

-Distorted or thickened nails

-Brittle, crumbly or ragged nail

-Nails separated from the underlying skin

-Buildup of debris (nail fragments, skin) under the nail

-White spots or streaks on the nail surface 

What treatments are available for nail infections? 

Current treatment options for nail infection include oral drugs, topical drugs and laser. No single treatment is effective in all patients and there are risks and benefits associated with each one. Be sure to discuss all your treatment options with your doctor.

Treatments:

Oral drugs can be very effective in eliminating nail infections and restoring clear nails. The drugs must be take for 12 weeks and may cause side effects including risk of liver damage and heart failure. Blood Tests may be required to monitor liver function. These drugs are not used for patients in poor health or who have liver disease.

Topical drugs are less effective in treating nail infections and restoring clear nails. The drugs are applied directly to the nails daily for up to 12 months. In some patients, the drug is ineffective because it cannot pass through the nail to reach the infection. There are no significant side effects.

Laser treatments are effective in eliminating nail infections and restoring clear nails. Most patients experience at least some improvement. During treatment most patients experience a warm feeling in their toes. A clinical study reported no adverse effects related to the laser.

What can you expect?

The treatment involves passing the laser beam over the infected nails and surrounding skin. Your physician will repeat this several times until enough energy has reached the nail bed. Your nail will feel warm during treatment.

Treatment Session Time: A single sessions takes approximately 20 minutes.

Number of Treatments: Two treatments are recommended and then a follow up six weeks after the initial treatments.

Before the Procedure: Remove all nail polish and decorations on the nail.

Long Term:  If successful, As the nail grows you will see new, healthy nails. Nails grow slowly, so it may take up to 12 months to see an entirely clear nail.

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