Local anaesthesia is given through an injection to the finger or toe. The exact nature of the procedure depends on the part of the nail involved.
Nail avulsion – This involves removing a part of or the entire nail plate.
Nail bed biopsy – This is usually done to diagnose a tumour in the nail bed. The nail is lifted up and the underlying tissue will be removed.
Nail matrix biopsy – This is usually done to diagnose a tumour in the nail matrix, such as when the nail is deformed or darkened. The nail and proximal nail fold are lifted to collect the underlying tissue. Stitches may be required to secure the nailfold back in place after the procedure. The nail may also be stitched back in place, allowing it to act as a natural dressing during wound healing.