Proper toenail cutting. Expert Guide: How to Properly Cut Toenails and Prevent Ingrown Nails
How do you cut toenails correctly to avoid ingrown nails. What are the proper techniques for trimming toenails. Which tools should you use for safe toenail cutting. How often should toenails be trimmed.
The Importance of Proper Toenail Care
Toenails serve a crucial protective function for our toes, shielding them from daily wear and tear. Composed of keratin, the same protein found in skin and hair, toenails are designed to be tough and resilient. However, various factors like friction from shoes, physical activity, and exposure to heat and moisture can lead to toenail problems. Understanding proper toenail care is essential for maintaining healthy feet and preventing issues like ingrown nails.
Common Toenail Problems and Their Causes
Before delving into proper toenail cutting techniques, it’s important to understand some common toenail issues:
- Toenail fungus (onychomycosis)
- Ingrown toenails
- Toenail trauma
- Clubbed nails
These problems can arise from various causes, including improper nail care, exposure to fungi, injuries, or underlying health conditions. By adopting correct toenail cutting practices, you can significantly reduce the risk of developing these issues.
Proper Techniques for Cutting Toenails
Cutting your toenails correctly is crucial for preventing ingrown nails and other toenail problems. Here are some expert-recommended techniques:
- Cut straight across: Avoid rounding the edges of your toenails.
- Use appropriate tools: Opt for sharp, clean nail clippers or scissors designed for toenails.
- Trim to the right length: Keep nails even with the tips of your toes.
- File rough edges: Smooth any jagged edges with a nail file.
- Cut when nails are soft: Trim after bathing or soaking feet for easier cutting.
Do you know how often to trim your toenails? The frequency depends on individual nail growth, but generally, every 6-8 weeks is recommended. Regular trimming helps maintain proper nail length and reduces the risk of ingrown toenails.
Tools and Equipment for Safe Toenail Cutting
Using the right tools is essential for safe and effective toenail care. Consider the following items:
- Toenail clippers: Choose sturdy, sharp clippers specifically designed for toenails.
- Nail scissors: These can be useful for precision cutting, especially around the corners.
- Emery board or nail file: Use these to smooth rough edges after cutting.
- Foot soak basin: Soaking feet before trimming can soften nails for easier cutting.
- Toenail brush: This helps clean under nails and remove debris.
Is there a difference between fingernail and toenail clippers? Yes, toenail clippers are typically larger and more robust to handle the thicker nature of toenails.
Choosing the Right Nail Clippers
When selecting nail clippers, consider the following factors:
- Size: Ensure the clipper can comfortably cut across your largest toenail.
- Material: Stainless steel clippers are durable and easy to clean.
- Sharpness: Sharp blades make clean cuts and reduce the risk of nail damage.
- Ergonomics: Look for clippers with a comfortable grip for better control.
Preventing Ingrown Toenails Through Proper Cutting
Ingrown toenails are often the result of improper nail cutting techniques. To prevent this painful condition:
- Cut nails straight across, avoiding rounded edges.
- Don’t cut nails too short; leave a small free edge.
- Avoid picking at or tearing your nails.
- Wear properly fitting shoes that don’t compress your toes.
- Keep feet clean and dry to prevent softening of nails.
Can wearing tight shoes cause ingrown toenails? Yes, tight shoes can put pressure on your toes, forcing the nail to grow into the surrounding skin.
Special Considerations for Diabetics and Seniors
People with diabetes or seniors may need to take extra precautions when caring for their toenails:
- Regular podiatrist visits: Professional nail care can prevent complications.
- Gentle care: Avoid cutting nails too short or disturbing the nail bed.
- Proper hygiene: Keep feet clean and dry to prevent infections.
- Moisturize: Use foot creams to prevent dry, brittle nails.
- Monitor closely: Check feet daily for any signs of injury or infection.
Why is foot care especially important for diabetics? Diabetes can lead to reduced sensation in the feet, making it harder to detect injuries or infections early.
When to Seek Professional Help
While proper at-home care is crucial, there are times when professional help is necessary:
- Persistent ingrown toenails
- Signs of infection (redness, swelling, pus)
- Thickened or discolored nails
- Difficulty cutting your own nails
- Diabetic foot care
A podiatrist can provide expert care and treatment for various toenail issues, ensuring your feet remain healthy.
Maintaining Healthy Toenails Beyond Cutting
Proper toenail care extends beyond just cutting. Consider these additional tips for maintaining healthy toenails:
- Keep feet clean and dry
- Wear breathable footwear
- Use antifungal powder in shoes
- Avoid walking barefoot in public areas
- Trim nails regularly
- Moisturize feet and nails
- Eat a balanced diet rich in biotin and protein
How does diet affect toenail health? A balanced diet provides essential nutrients like biotin, protein, and vitamins that contribute to strong, healthy nails.
The Role of Foot Hygiene in Nail Health
Proper foot hygiene is crucial for maintaining healthy toenails:
- Wash feet daily with soap and water
- Dry thoroughly, especially between toes
- Change socks daily
- Rotate shoes to allow them to dry completely between wears
- Use foot powder to keep feet dry
By incorporating these practices into your routine, you can significantly reduce the risk of fungal infections and other toenail problems.
Understanding Toenail Growth and Health Indicators
Toenails grow slowly, typically at a rate of about 1 millimeter per month. This slow growth means that any damage or changes to the nail can take a long time to grow out. Understanding normal toenail growth and appearance can help you identify potential problems early:
- Color: Healthy toenails should be a pale pink color
- Texture: Smooth and consistent
- Shape: Slightly curved with no distortions
- Attachment: Firmly attached to the nail bed
What does it mean if your toenails are yellow? Yellow toenails can indicate a fungal infection, but they can also be caused by nail polish staining or aging.
Signs of Healthy vs. Unhealthy Toenails
Being able to distinguish between healthy and unhealthy toenails is important for early detection of problems:
Healthy Toenails | Unhealthy Toenails |
---|---|
Smooth surface | Rough or pitted surface |
Consistent color | Discoloration or dark spots |
No pain or discomfort | Pain, especially when pressure is applied |
Firm attachment to nail bed | Separation from nail bed |
The Impact of Footwear on Toenail Health
Your choice of footwear can significantly impact the health of your toenails. Ill-fitting shoes can lead to various problems, including ingrown toenails and toenail trauma. Consider the following when selecting shoes:
- Proper fit: Ensure there’s enough room in the toe box
- Breathable materials: Choose shoes that allow air circulation
- Activity-appropriate: Wear shoes designed for your specific activities
- Alternating pairs: Rotate shoes to allow them to dry completely between wears
How can tight shoes affect your toenails? Tight shoes can compress your toes, potentially leading to ingrown nails, bruising, or even toenail loss.
Choosing the Right Socks
Socks play a crucial role in maintaining foot health and preventing toenail problems:
- Material: Opt for moisture-wicking fabrics like wool or synthetic blends
- Fit: Choose socks that fit well without being too tight
- Cushioning: Consider cushioned socks for high-impact activities
- Seamless options: These can reduce friction and pressure on toes
Toenail Care for Athletes and Active Individuals
Athletes and those who engage in regular physical activity may need to pay extra attention to their toenail care:
- Trim nails regularly to prevent trauma during activities
- Wear properly fitting athletic shoes with enough toe room
- Use moisture-wicking socks to keep feet dry
- Consider protective toe caps for high-impact sports
- Clean and dry feet thoroughly after activities
- Monitor for signs of fungal infections or injuries
Why are athletes more prone to toenail problems? The repetitive impact and friction from athletic activities can increase the risk of toenail trauma and fungal infections.
Preventing “Runner’s Toe”
“Runner’s toe” is a common condition among runners, characterized by blackened or bruised toenails. To prevent this:
- Ensure proper shoe fit with adequate toe room
- Trim toenails regularly
- Wear moisture-wicking socks
- Consider using silicone toe protectors
- Gradually increase running distances to allow feet to adapt
Natural Remedies for Toenail Health
While proper cutting and hygiene are essential, some natural remedies may help maintain healthy toenails:
- Tea tree oil: Known for its antifungal properties
- Apple cider vinegar: May help balance pH and fight fungal infections
- Coconut oil: Moisturizes and has antimicrobial properties
- Olive oil: Helps soften nails and cuticles
- Oregano oil: Has antifungal and antibacterial properties
Can natural remedies replace medical treatment for toenail problems? While natural remedies can be beneficial, they should not replace professional medical advice or treatment for serious toenail conditions.
Nutritional Support for Healthy Toenails
A balanced diet can contribute to stronger, healthier toenails. Include the following nutrients in your diet:
- Biotin: Found in eggs, nuts, and whole grains
- Protein: Essential for nail structure
- Omega-3 fatty acids: Can help reduce inflammation
- Vitamin E: Supports overall nail health
- Zinc: Important for nail growth and repair
Toenail Care During Pregnancy
Pregnancy can affect various aspects of foot health, including toenails. Pregnant women should be aware of the following:
- Increased risk of ingrown toenails due to swelling
- Difficulty reaching toes in later stages of pregnancy
- Potential changes in nail growth rate
- Importance of comfortable, supportive footwear
How does pregnancy affect toenail care? Pregnancy can make it challenging to care for toenails due to physical changes and reduced mobility. Professional pedicures or assistance from a partner may be helpful.
Safe Pedicure Practices During Pregnancy
If opting for professional pedicures during pregnancy, consider these safety tips:
- Choose a reputable salon with proper hygiene practices
- Avoid cutting cuticles to reduce infection risk
- Skip essential oils or strong fragrances
- Opt for gentle foot massages, avoiding pressure points linked to labor induction
- Stay hydrated and take breaks if sitting for extended periods
The Future of Toenail Care: Innovations and Trends
The field of podiatry and nail care continues to evolve, with new technologies and treatments emerging:
- Laser treatments for fungal infections
- Advanced nail reconstruction techniques
- Personalized 3D-printed orthotics
- Smart sensors for early detection of foot problems
- Improved antifungal medications
How might technology change toenail care in the future? Advancements in medical technology may lead to more effective treatments for toenail problems and improved methods for maintaining foot health.
The Role of Telemedicine in Toenail Care
Telemedicine is becoming increasingly popular in various medical fields, including podiatry:
- Remote consultations for initial assessments
- Follow-up appointments for ongoing treatments
- Education on proper at-home care techniques
- Quick access to expert advice for minor concerns
While telemedicine can’t replace all in-person visits, it can provide valuable support and guidance for maintaining healthy toenails.
Toenail Problems: Causes, Symptoms, and Treatments
Toenail Problems: Causes, Symptoms, and Treatments
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Medically reviewed by Judith Marcin, M. D. — By Adrienne Santos-Longhurst — Updated on December 7, 2018
Overview
Your toenails serve a purpose, which is to protect your toes. They’re made from keratin, which is the same protein that makes up your skin, hair, and fingernails. It’s keratin that makes them tough and resilient to daily wear and tear.
Friction from your shoes, your level of physical activity, and the heat and moisture they’re exposed to can wreak havoc on your toenails, as can some health conditions.
Pain, itching, and discoloration are just some of the signs of toenail problems.
There are a number of toenail abnormalities that can cause anything from pain to a change in a toenail’s appearance.
Here’s a look at some common toenail problems, what causes them, and their symptoms.
Toenail fungus
Nail fungus, or onychomycosis, is a common condition. About 10 percent of people are affected. The older you are the more likely you are to experience it. Half of all people over age 70 develop this infection.
You may first notice a white or yellow spot under the tip of a toenail. As the fungal infection makes its way deeper into the nail, your nail will become discolored and thicken.
Your nail may also crumble and become jagged at the edge, and spread to other toenails. It can also spread to the surrounding skin.
Toenail fungus can be caused by a fungal infection on your foot or from walking barefoot where someone else with an infection has walked, such as saunas or locker rooms.
Fungi thrive in dark and damp environments, so people whose feet remain wet for extended periods have an increased risk of toenail fungal infections. This can happen when wearing the same sweaty shoes or boots every day or working in wet conditions.
People with diabetes are also at high risk for this infection.
Symptoms
If you have toenail fungus, one or more of your toenails may become:
- discolored, usually white or yellow
- thickened
- misshapen
- brittle or crumbly
- foul-smelling
Ingrown toenail
Ingrown toenails are one of the most common and most painful toenail problems. It occurs when the corner or side of your toenail grows into the flesh.
This can be caused by:
- cutting your toenails too short
- cutting your toenails on a curve instead of straight across
- injuring your toenail
- having unusually large or curved toenails
Symptoms
If you have an ingrown toenail, you may experience:
- redness and pain along the side of the nail
- swelling around your toenail
- pus draining from your affected toenail
Toenail trauma
Toenail trauma can happen several ways, including:
- stubbing your toe
- dropping something heavy onto your foot
- wearing ill-fitting shoes
- picking at nails
Activities such as running or ballet dancing may also cause trauma to the toenail, as can a poorly performed pedicure.
Injuring a toenail can result in a collection of blood under the nail, called subungual hematoma. Other damage can include a partially or completely separated nail or injury to the underlying bone.
Symptoms
Symptoms of toenail trauma depend on the type of injury and may include:
- pain or throbbing
- dark red or purple spot under the nail
- split or torn nail
- nail lifting away from the skin
- thickening of the toenail
- discoloration
- bleeding
Clubbed nails
Nail clubbing refers to changes under and around the toenails that cause your toes to take on a widened, club-like appearance.
Clubbing is most often caused by an underlying medical condition, such as heart disease, lung disease, gastrointestinal disorders, and cancer. It can also be an inherited trait in some people.
Clubbing can develop gradually over weeks or years, depending on the cause.
Symptoms
Symptoms of clubbed nails may include:
- widening and rounding of the toenails
- downward curving of the toenails
- pronounced angle between the cuticles and nails
- softening of the nail beds
- nails that appear to be floating
- bulging of the tips of the toes
Discoloration of the nail plates
Discoloration of the nail plates is usually the least worrisome of toenail problems.
Your nails are susceptible to discoloration from substances you come into contact with. Nail polish, dye from your shoes, and other products containing dye can stain your nails.
Drugs, including some cancer drugs, antibiotics, and those used to treat autoimmune disorders, can also cause discoloration of your nail plates.
Discoloration is usually not painful and will improve when your nail grows out or when you stop taking the medication or using the product that caused the discoloration.
There is a rare medical condition that can cause your nail plates to turn white.
Symptoms
Other than the discoloration, there aren’t usually any other symptoms associated with discolored nail beds.
Nail-patella syndrome
Nail-patella syndrome is a rare condition that affects an estimated one in 50,000 people. It causes changes in the nails, kneecaps, hip bone, and elbows. The most common symptom is underdeveloped or missing fingernails and toenails. It caused by a genetic mutation.
Symptoms
The following are some of the symptoms of this rare condition:
- underdeveloped fingernails and toenails
- missing fingernails and toenails
- ridged or split fingernails and toenails
- discolored nails
- small, deformed, or missing kneecaps
- underdeveloped or deformed elbows
- knee and elbow pain
- small bony growths on the hip bones (iliac horns)
Leukonychia
Leukonychia is the whitening of the nail plate. The condition can be divided into types based on the extent of the whitening:
- Leukonychia striata are white streaks on the nail.
- Leukonychia partialis is a partial whitening of the nail.
- Leukonychia totalis is the complete whitening of the nail.
It is believed white streaks that form on the nail are due to problems with how the nail makes keratin. Whitening of the nail can be caused by underlying medical conditions or injury to the toenails.
An inherited gene mutation, certain medical treatments, such as chemotherapy, and heavy metal poisoning can also cause leukonychia. In some cases, an underlying cause is not found.
Symptoms
Symptoms of leukonychia include:
- white spots on the nails
- partial whitening of the nails
- complete whitening of the nails
Red or black lines down the nails can be signs of a variety of serious infections and medical conditions, including cancer. See your doctor if you notice these types of changes.
The treatment of toenail problems depends on the issue and its cause.
Toenail fungus
Fungal nail infections can be difficult to cure and usually require prescription antifungal pills. In some cases, removing the nail also may be recommended.
It takes several months for a fungal nail infection to go away. You can help prevent toenail fungus by:
- keeping your feet clean and dry
- avoiding walking barefoot in public showers, pools, or locker rooms
- not sharing nail clippers
- choosing nail salons that are licensed and sterilize their instruments
- properly managing your blood sugar levels if you have diabetes
Ingrown toenail
Your doctor may need to lift the nail or perform a partial or complete removal of the nail, depending on the severity of your symptoms. Wearing proper-fitting shoes and trimming your toenails straight across and not too short can help you prevent an ingrown toenail.
Toenail trauma
Treatment depends on the type of trauma and extent of the injury. Treatment options may include surgery and medication.
Other causes of toenail problems
Treatment for other causes of toenail problems, such as clubbed nails and leukonychia, requires treating the underlying condition.
See your doctor about any abnormal changes to your toenails or if you experience signs of infection, such as redness, severe pain, or drainage of pus. Any red or black lines down the nails also require an evaluation by your doctor.
Your toenails experience daily wear and tear, making toenail problems quite common. Taking care of your toenails with proper hygiene and properly fitted footwear can help keep your toenails strong and healthy.
Last medically reviewed on August 28, 2018
How we reviewed this article:
Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. We avoid using tertiary references. You can learn more about how we ensure our content is accurate and current by reading our editorial policy.
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merckmanuals.com/en-ca/home/skin-disorders/nail-disorders/deformities,-dystrophies,-and-discoloration-of-the-nails - Berker D. (2013). Nail anatomy. DOI:
doi.org/10.1016/j.clindermatol.2013.06.006 - Canavan T, et al. (2015). An idiopathic leukonychia totalis and leukonychia partialis case report and review of the literature. DOI:
doi.org/10.1159/000380956 - Fungal nail infections. (2017).
cdc.gov/fungal/nail-infections.html - Ingrown toenail. (n.d.).
orthoinfo.aaos.org/en/diseases–conditions/ingrown-toenail - Leukonychia totalis. (2014).
rarediseases.info.nih.gov/diseases/9759/leukonychia-totalis - Lipner SR, et al. (2016). Evaluation of nail lines: Color and shape hold clues.
mdedge.com/sites/default/files/issues/articles/Lipner_NailLines.pdf - Mayo Clinic Staff. (2018).
mayoclinic.org/diseases-conditions/ingrown-toenails/symptoms-causes/syc-20355903 - Morgan Z, et al. (2011). Leukonychia on finger nails as a marker of calcium and/or zinc deficiency. DOI:
doi.org/10.1111/j.1365-277X.2011.01175_23.x - Nail fungus. (n.d.).
aad.org/public/diseases/contagious-skin-diseases/nail-fungus#overview - Nail-patella syndrome. (2018).
rarediseases.info.nih.gov/diseases/7160/nail-patella-syndrome - Rajagopalan M, et al. (2018). Evaluation of clubbing.
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Medically reviewed by Judith Marcin, M. D. — By Adrienne Santos-Longhurst — Updated on December 7, 2018
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Why Do We Have Nails? The Important Roles They Play
Why Do We Have Nails? The Important Roles They Play
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Medically reviewed by Stacy Sampson, D. O. — By Rachel Nall, MSN, CRNA on April 22, 2020
Paws and claws: Many experts believe fingernails and toenails have evolutionary similarities to these structures.
Since fingernails must have more of a purpose than for creating cool manicure styles, this article will take a look at why we have fingernails and toenails — and the clues they give us about overall health.
According to an anthropology professor at the University of Wisconsin-Madison, fingernails are present in all primates, including humans, monkeys, and apes, to support our fingertips.
When taking proportions into account, our fingertips are wider on average than those of most other primates.
Fingernails play several important roles in the body that may provide a sign as to why we have them. These include:
- Strengthening. The hard, outer covering on the tips of the fingernails makes the fingertips one of the strongest parts of the hand. This makes performing everyday tasks, including gripping, less risky. The fingernails have many small blood vessels to supply them, and can maintain their blood flow even when you’re gripping something very tightly.
- Protection. Having a fingernail covering can prevent viruses and bacteria from entering the body. If a person’s nail bed is disrupted, they may be more at risk for nail infections.
- Enhancing fine motor movements. The fingernails enhance your ability to scratch and separate, such as pages in a book or hairs on your head. A person can also use their fingernails to pick up items.
- Sensation. While you may not think of the nails as being as sensitive as your fingertips, there’s an intricate network of nerves underneath the nail.
While a person doesn’t have to have fingernails to survive, they can certainly help with many tasks.
Can you imagine if your fingertips tried to roll backward when you held something? The strength and existence of fingernails helps keep this from happening (thank goodness!).
The main function of toenails is likely for protection, compared to enhancing grip or the fine motor functions the fingernails have.
The tops of the toes are vulnerable to injury and, as we’ve all learned the hard way, stubbing. By having a protective nail on top of the toe, the toes are less vulnerable to injury and infections.
Some slight differences in purpose are reflected in rates of nail growth. Fingernails grow around twice as fast as toenails, according to a small 2010 study.
This study of 22 healthy American young adults found that fingernails grow an average of 3.47 millimeters (mm) a month, while toenails grow an average of 1.62 mm a month.
The big toenail grows the fastest on the feet, while the pinkie fingernail is the slowest growing of the fingernails.
Fingernails have greater blood flow, in part because they’re closer to your heart. The legs and feet are also subject to greater concerns related to blood flow, such as deep vein thrombosis or other peripheral vascular diseases. This can affect toenail growth and toenail function.
Fingernails comprise three layers of tissue called keratin. Keratin is a tissue type that has amino acid proteins. Keratin is naturally present in your hair and nails. It’s also a component found in other animals, including horse hooves.
The way keratin cells link to form together can influence the consistency and feel of the fingernails. For example, the nail layers are made of soft, moderately hard, and hard keratin. These all come together to create the protective shield you know as your fingernails.
While the keratin cells are no longer living (which is why you can trim your fingernails and toenails), they represent formerly living cells that needed nutrients and proteins to survive.
When you consider this, it’s easy to see how deformities in the nails can indicate potential underlying problems, such as nutritional deficiencies. (More about this in the next section.)
Fingernails may be potential indicators of underlying medical conditions. In fact, doctors frequently assess fingernails to help diagnose different medical conditions.
Common nail disorders that may indicate underlying health conditions include the following:
- Clubbing. Clubbing causes an extreme curve and rounding appearance to the fingernails. This could indicate low oxygen levels, including chronic lung disorders.
- Concavity. Also known as koilonychia, concavity occurs when the nails bend up at the sides, making a U shape instead of a traditional C shape. This can occur in people who have a chronic iron deficiency.
- Pincer. Pincer nails are very rounded, almost as if the nail side edges are trying to touch. Aging is a common cause as is taking certain medications, such as beta-blockers.
- Pitting. Pitting causes multiple, shallow depressions in the nail area. This symptom can be the result of conditions such as alopecia areata or psoriasis.
- Horizontal lines. The fingernails naturally have up-and-down lines. When lines appear side-to-side and have a whitish, pale tone to the nail plate, doctors call these Muehrcke’s lines. People who have low albumin levels, an essential protein that helps maintain fluid balance and transport substances in the body, may have these lines.
- Black line or band. While this can be a normal variation to some people’s nails, a new, longitudinal light to dark brown band on the nail could indicate subungual melanoma. This is a type of melanoma that occurs in the fingernail and extends deeper below. It can cause additional symptoms, such as bleeding, cracking, and brittleness.
Fingernails and toenails are present in primates — including humans.
Ideally, your nails are pink at the nail beds, slightly rounded, with small, shallow vertical lines. If you have variations of this standard appearance that concern you, talk to your doctor.
Last medically reviewed on April 22, 2020
How we reviewed this article:
Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. We avoid using tertiary references. You can learn more about how we ensure our content is accurate and current by reading our editorial policy.
- Curiosities: Why do we have fingernails? (2007).
news.wisc.edu/curiosities-why-do-we-have-fingernails/ - Farren L, et al. (2004). The fracture properties and mechanical design of human fingernails. DOI:
10.1242/jeb.00814 - Johnson C, et al. (2020). Anatomy, shoulder and upper limb, nails.
ncbi.nlm.nih.gov/books/NBK534769/ - Lipner SR, et al. (2016). Evaluation of nail lines: Color and shape hold clues. DOI:
10.3949/ccjm.83a.14187 - Mayo Clinic Staff. (2019). Fingernails: Possible problems.
mayoclinic.org/healthy-lifestyle/adult-health/multimedia/nails/sls-20076131?s=1 - Moman RN, et al. (2020). Physiology, albumin.
ncbi.nlm.nih.gov/books/NBK459198/ - Yaemsiri S, et al. (2010). Growth rate of human fingernails and toenail in healthy American young adults. DOI:
10.1111/j.1468-3083.2009.03426. - Yost JM. (2017). Diagnosis and management of common nail disorders.
calderm.org/system/files/evt_doc/diagnosis_and_management_of_common_nail_disorders_-_yost.pdf
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Medically reviewed by Stacy Sampson, D.O. — By Rachel Nall, MSN, CRNA on April 22, 2020
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The better to cut your nails. How to cut nails so that they do not grow in? Ingrown toenail: problems of dealing with it
Once a week, each of us has to do such a thing as cutting nails. During this procedure, we try to get rid of long nails that interfere with us. At the same time, few people think about how to properly cut their nails, not considering it important. However, improper cutting of nails can lead to a deterioration in the condition of the nail plates, the skin around the nails, and even injury.
How to properly cut your fingernails.
Women’s hands require special care. However, men must also cut their fingernails, following certain rules.
♦
If the nails were covered with varnish, then before cutting the nails it is necessary to remove it. Hands should be washed well with soap, and then it is advisable to make a warm bath with herbs for them to soften the nail plates. This procedure should definitely be done by the elderly, whose nail plates have coarsened and thickened.
♦
In addition, you need to prepare a tool: nail scissors with straight ends or tweezers. The tool must be sharp and of high quality so that its use does not lead to. The tool must be treated with alcohol.
♦
Nails should not be cut very short, as this leads to the risk of infection of the skin around the nails. In addition, this method of cutting nails leads to the fact that the tips of the fingers expand over time and acquire a rougher shape. It is necessary to cut the nails so that the length of the nail plate is 0.5-1 mm.
♦
Nails can be given any shape, but the best is the shape that follows the contour of the fingers. The nail plates must be rounded to prevent the nail from growing into the skin.
♦
To give the nail a neat and as even shape as possible, it is necessary to work with the tips of the scissors, moving a little from the edge of the nail bed to the center. You can not cut the entire nail with one closing of the blades, as this leads to damage and subsequent delamination of the nail. If the skin is close to the nail, then it is better to use tweezers so as not to injure the skin with the sharp edges of the scissors.
♦
At the end of the procedure, the nails should be treated with a nail file. However, it is necessary to move only in one direction: from the edge of the nail to the middle.
How to cut your toenails.
Toenails are more prone to ingrown toenails, so special care must be taken when trimming them. The risk of ingrown toenails is increased by trauma to the toe, fungal infections, or wearing uncomfortable shoes.
If the nails on the hands are cut with a rounding, then on the legs they must be cut evenly. With constant cutting of the edges of the nail plates, the direction of nail growth changes and the risk of their ingrowth into the skin increases. When cutting nails, it should be borne in mind that you can not cut them too deep or from the side.
Before the nail trimming procedure, it is advisable to do another procedure – a bath with the addition of soda, liquid soap, sea salt, lemon juice, medicinal herbs. After that, the legs should be wiped dry and cut off the overgrown part of the nail. In this case, you need to move a little from one edge to the other. Sharp corners must be filed with a nail file.
How to properly trim an ingrown toenail.
Should be trimmed as early as possible to avoid severe ingrowth that can only be removed with surgery. To remove an ingrown nail you need:
Make a warm bath with a solution of chlorhexidine or furacilin and hold your feet in it for about 10 minutes. During this time, the nails will become softer, the dirt will be washed away, and the wound will be disinfected;
An antimicrobial ointment, such as Levomikol, should be applied to the inflamed area of the skin;
With a wooden stick or a sharpened nail file treated with alcohol, carefully pry off the tip of the ingrown nail and remove it to the surface. After that, it can be slightly trimmed and filed;
After that, it is necessary to deal with the prevention of ingrown toenails. To do this, slightly cut the edge of the nail vertically. The nail plate will tend to grow together, so it will begin to shrink towards the middle, freeing the skin;
The inflamed area must be treated until it heals. It is advisable to protect the wound with a sterile bandage or bactericidal patch.
Cutting off an ingrown nail completely is not worth it, because this will accelerate its ingrowth in the future. The nail must be allowed to grow along with the corners so that it is higher than the area where it grows.
Believes that properly trimmed nails are an important condition for the health and beauty of the hands.
If the toenails are cut incorrectly, this can not only damage the nail plate, but also cause an ingrown nail, lead to cuts and other microtraumas, which often result in inflammation and suppuration.
Getting rid of such ailments is not easy: you have to spend a lot of time, effort and money. To prevent the development of such problems, it is very important to know how to cut your toenails correctly.
Toenails are usually much harder and stronger than fingernails, so they need to be steamed before being trimmed. To do this, lower your legs into a bowl of very warm water and keep it there for about fifteen minutes. If desired, you can prepare a bath with an infusion of chamomile or medicinal herbs that have a positive effect on the skin and heal it.
Before starting the procedure, or while the feet are being steamed, treat the instruments with which the pedicure will be performed with disinfectants. First of all, these are manicure scissors with rounded edges, tweezers and a nail file. If this is not done, if the skin is damaged during the procedure, it is possible to introduce an infection and subsequently treat the inflammation.
After steaming your legs, you need to wipe them dry with a towel, paying special attention to the toes and the space between them, after which you can proceed to the procedure. First, with the help of scissors or tweezers (whichever is more convenient), you need to get rid of dead skin that has formed on both sides of the nail. This must be done very carefully so as not to catch and accidentally cut off living skin. After that, you can proceed directly to the nail.
Before trimming a nail, it must be borne in mind that cutting it under the root is not allowed: this can damage the skin. Cut toenails in small straight steps, without rounding, repeating the curves of the natural shape of the nail plate. The remaining sharp corners must be corrected with a nail file.
Ingrown toenail
One of the problems that people often face is an ingrown toenail, when the nail plate grows into the side of the nail fold due to improper pedicure, fungal infection, tight shoes or other factors.
At first, the problem does not bother, but after a while the picture changes: there is severe pain, inflammation, swelling, redness, suppuration. The finger is deformed, increases in size, due to which the shoes become tight, interfere with walking.
Faced with a problem, it is necessary to keep in mind that the sooner treatment is started, the easier it is to resolve the issue, and in the first stages, the situation can be dealt with on your own. To do this, you need to make a foot bath by adding a tablet of furacilin per liter of water to the water (you can replace it with a tablespoon of salt or soda). Having steamed your legs well, you can try to carefully cut off the ingrown part of the nail.
In a more advanced case, if pus has appeared, it is necessary to treat the inflamed area with hydrogen peroxide, then lubricate the inflamed area with Levomekol or Synthymycin ointment, wrap it with polyethylene and go to bed. Then in the morning try to remove the ingrown nail from the skin.
To do this, it is good to steam your feet in very warm water. With a nail file with a pointed end or a wooden spatula, carefully pry off the ingrown tip, pull it out, and then cut or file it.
Naturally, before the procedure, you should not forget to treat the nail file or spatula with an antiseptic. Lubricate the treated part of the finger with iodine, brilliant green or apply ointment to prevent infection from entering the wound.
In an advanced case or if the problem could not be solved on its own (pus becomes larger, the finger bleeds), in order to get rid of an ingrown nail, you need to consult a doctor. One of the more effective, but also expensive means, is a laser that acts pointwise without harming the skin and nail plate. After processing the nail plate with it, the likelihood of relapse is minimal.
Nail cutting is a common activity. Few people think about how well he does it. This procedure affects the health of the nails and the condition of the skin around them.
How to cut your fingernails
Remove nail polish and wash your hands with soap and water before cutting your nails. After that, it is recommended to make a bath, this will soften the nail plates and make it easier to cut them, especially steaming will be useful for people of age.
Prepare the instrument, which can be straight-tipped nail scissors or tweezers. They must be of high quality and sharp, otherwise, after use, the nails will delaminate. To avoid infection, it is recommended to treat the tool with alcohol before work.
Try not to cut your nails short. This increases the risk of infection and can cause the fingertips to become flared and rough over time. The minimum length of the nail plate should be 0.5-1 mm.
You can give your nails any shape, but keep in mind that the ideal is the one that follows the contour of your fingers. In any case, the nails on the hands must be rounded. If this is not done, the nail may ingrown into the skin.
To make the shape of the nail neat and even, cut it only with the tips of the scissors, moving in small steps – from the edge of the nail bed to the center. Do not try to cut the entire nail with one closing of the blades, its damage and delamination is then inevitable. Use tweezers for hard to reach places. File your nails after cutting. Do this in one direction, from the edge of the nail to the middle.
How to trim your toenails
Trimming your toenails requires attention, as they are prone to ingrown. This is facilitated by tight or uncomfortable shoes, fungal infections and finger injuries.
Unlike fingernails, toenails must be trimmed straight, avoiding curves. If the corners of the nail plates are constantly cut off, this can lead to a change in the trajectory of their growth and ingrowth into the skin. It is not recommended to cut them too deeply, and even more so from the side.
How to trim an ingrown toenail
If you have not managed to avoid an ingrown toenail, it is necessary to start treating it as soon as possible, preferably when the first symptoms appear.
- Place your feet in a warm bath with a solution of chlorhexidine or furacilin for half an hour. This will disinfect the wound and remove dirt.
- Apply an antimicrobial ointment, such as Levomikol, to the inflamed area.
- Use a disinfected wooden stick or sharp file to pry off the edge of the ingrown nail, remove to the surface and file.
- Slightly cut the edge of the nail vertically. The nail plate, trying to grow together, will begin to shrink towards the middle and release the skin.
- Treat the inflamed area with brilliant green and try to place a small piece of sterile bandage under the nail.
It would seem that there is nothing easier than cutting toenails. And that’s what most people think. Unfortunately, it’s actually not as easy as it seems. Incorrect actions often lead to disastrous and very unpleasant results, ingrown nails appear, the nail plate is deformed, and the process of inflammation begins on the fingers.
Neat, beautifully trimmed toenails are not only beautiful, but also meet all hygiene requirements.
Because a large number of harmful microbes usually begin to collect under long nails.
To carry out such a process yourself and correctly, you must follow the recommendations and tips below.
Features
When carrying out this procedure, it is necessary to prepare special manicure accessories in advance, as well as a towel and a container of warm water.
- First, you should prepare for the process, that is, disinfect all accessories, doing this carefully. It is best to use medical alcohol. It is necessary to do this in order not to bring any infection and protect your legs from the appearance of a fungus. Tweezers or scissors that have not been disinfected may well cause inflammation and fungus. It is best when the manicure set is individual, and no one except you uses it anymore.
- Nails on the feet are many times thicker than on the fingers. Therefore, it is more difficult for an elderly person to cut them. Therefore, it is worth steaming them before processing. To do this, the legs are dipped in hot water, where a soap solution has already been added. When the legs are affected by a fungus, nettle or string decoctions can be added to the steaming water. Healing herbs magically heal existing wounds, and most importantly, they direct their forces to fight inflammatory foci.
The ideal pedicure is not only beautifully trimmed nails, but also cleaned feet, from which dead skin is removed in the process. Eliminate excess layering with pumice. Immediately after this, you need to dry your feet, and then remove the cuticle from the nails. Here you need to be very careful and careful – when cutting off dead skin, you can not touch the living tissue so as not to damage it.
- After the work done, you can start cutting. You can do this using nail scissors, it will be more convenient for someone to work with wire cutters. If possible, cut the nail plates in a straight line. It happens that in some people the shape of the nails simply does not allow such a cut. In this case, it is necessary to cut the nail right along the edge, according to its natural shape. Under the root is not cut, leave about 1 mm. It is also impossible to cut roughly into the edges of the nail, so as not to lead to ingrowth.
- When finished trimming, carefully file the edges with a nail file. Smooth nails will not spoil socks or tights.
- The final step is to lubricate the feet with nails cream. It is better to choose a fat cream for this, so that the legs become smooth, with soft skin.
At the end of all the above steps, there should be no ingrowth. But for those with whom such a disaster has already happened, you need to immediately deal with the problem, begin to act immediately.
Treatment of Ingrown Toenails
Almost everyone is aware of ingrown nails, knows what happens and how painful and unpleasant it is. With improper cutting, the nail plates begin to grow directly into the skin, all this causes discomfort and pain. When the nail is cut directly into the skin of the finger and if the skin is damaged by harmful microbes, the inflammatory process will begin. Often, the finger swells and may become swollen and red. It is very unpleasant to experience painful sensations, moreover, accompanied by suppuration.
In this case, it will become impossible to wear shoes, and even just walk.
By the way, ingrown nails begin not only because of improper trimming. Tight, uncomfortable shoes can also affect the onset of ingrowth of the nail plate into the skin of the toes. The nail could be injured or some kind of fungal infection was introduced, which, in turn, deformed it.
It is possible to cure an ingrown nail on your own and get rid of such unpleasant sensations. And measures, by the way, need to be taken as soon as possible. First, the leg, along with the sore toe, must be soaked in water, adding an antiseptic to the bath. You can grind the tablets “Furacilin”, “Chlorophyllipt”, “Tetracycline”. The leg should be steamed in hot water and wait until the skin becomes pliable, soft.
Next, try to pry off the ingrown nail with a blunt spatula, and then carefully cut off this nail plate.
When the nail does not give in, and it is simply impossible to cut it, a compress is made with Levomekol to soften the thick specimen. The nail is abundantly lubricated with ointment, on top it is covered with a film, tracing paper. The bandage is not used so that its material does not absorb the ointment. They wrap their fingers and go to bed. In the morning, it is much easier to pry off an ingrown nail plate, it will become much softer together with the skin, and the finger will not hurt so much.
In case of severe suppuration and inability to get rid of ingrown nails on your own, you need to urgently go to the surgeon. He removes ingrown nails very quickly, relieving martyrs from this problem.
By the way, after a mini-surgery, everything can happen again, so you should always cut your hair carefully, it is better not to cut it too close to the skin.
During pregnancy, it can be difficult for expectant mothers to cut their toenails on their own, you need to go to the salon and use the services of a professional master who will definitely do a high-quality pedicure, and then also give a pleasant foot massage. Pregnant women will definitely appreciate it.
Trimming a child’s nails
Trimming the nails of young children is considered an important problem. Most parents just don’t know how to do it. After all, babies are constantly on the move. How to make the child sit upright without twitching and at the same time not touch the skin.
- There are special individual scissors for cutting children’s nails. In particular, it refers to toenails. You need to trim in a well-lit room, so as not to touch the skin in any case.
- The procedure is carried out immediately after the bath, when the nails are the most supple and soft.
- It is necessary to fix the baby’s leg so that he cannot pull it at a dangerous moment. One hand firmly holds the leg, the second we begin to cut the nails.
Nail trimming
Healthy, beautiful and well-groomed nails… Who doesn’t dream about them? And who wouldn’t want to show off such a perfect manicure. After all, it is the hands that can very often give away what we are doing and how careful we are
. However, today we will not tell you about other manicure manipulations – we will invite you to talk about how to cut your nails and how to care for them
.
Do you think that nails can be cut how and with what you have to, and they do not need special care? Then, what can you say to the fact that very often it is not the correct trimming of the nails that leads to problems when the nails begin to exfoliate or grow in
? In order to avoid all this, we suggest that you familiarize yourself with our publication . ..
Nail cutting is an important procedure
they look neat and tidy. Agree, unevenly regrown nails with a dirty “rim” are unlikely to be conducive to shaking hands with their owner. Well, besides the fact that it is also not aesthetically pleasing, the dirty environment under the nails is a great place for the accumulation of microorganisms and bacteria that can cause us to feel unwell. Therefore, cutting your nails regularly is a must
. True, this must be done correctly, since cutting nails has a great influence on the condition of not only the nail plates themselves, but also on the condition of the skin around our nails.
Preparing nails for cutting
So, what is the right way to cut your fingernails? First of all, you need to prepare your hands for such a procedure. To do this, remove the varnish from the surface of the nails, if you paint your nails, and wash your hands well with. After such an “introduction”, you can make a hot hand bath to soften the nail plates themselves. This will greatly facilitate the procedure for cutting nails, and will especially help those whose nails are hard and difficult to scissors.
How to cut nails
Use special nail scissors for cutting, the tips of which are either straight or in the form of tweezers. Scissors should be sharp enough and of high quality, because if they are soft, then you will not be able to cut your nails, you will only deform the nail plates, which will later cause them to delaminate. In order to avoid possible injury and infection during the cutting of nails, it is recommended to wipe the surface of the scissors with alcohol.
How to cut your fingernails
Don’t cut your nails too short. This is a big mistake. Thus, you increase the risk of infection and contribute to the deformity of the pads of the fingers, which over time can deform, expand and become rough. Therefore, remember that the minimum length of the nail plate should not be less than 0.5-1 mm.
While trimming your nails, you can shape your nails any way you like, however experts say that the ideal shape is the one that follows the contour of your fingers
. So, fashion is fashion, but do not forget about individual features. Well, so that nail plates do not grow into the skin, do not cause you pain and discomfort – round off their tips.
In order to make the shape of the nail as even and accurate as possible, cut the nail itself with the tips of the scissors, trying not to cut off part of the nail plate in one step, but moving in small “steps” from the edge of the nail bed to its center. If you neglect this recommendation, and, trying to save time, cut your nails in one fell swoop, then the problem of delamination of the nail plate in the future will be guaranteed to you. In hard to reach places, or where the nail is too hard, you can use special nail clippers.
After the nails are trimmed, correct any irregularities with a special nail file to give them a perfect shape. However, it is necessary to process the nail plate with a nail file in only one direction – from the edge of the nail to its middle.
How to cut toenails
How to cut toenails
Trimming toenails is no less important procedure than cutting fingernails. And, although others pay less attention to toenails, especially in winter, spring and autumn, when we walk in closed shoes, this does not mean at all that we should forget about toenails. They also need to be trimmed regularly and ensure that the nails do not grow into soft tissues. For toenails, this is a very common problem, which, by the way, is promoted by tight shoes, toe injuries, and.
The technique for cutting toenails is different from that for cutting fingernails. Nails here must be trimmed evenly, trying to avoid rounding. If you neglect this advice and constantly cut off the corners of the nail plates, then in the future their growth trajectory may change, and they may begin to grow into the skin. You should also not cut your nails too deeply, especially in the side zone.
To soften your toenails, it is recommended to soak your nails in a warm bath to which you add some liquid soap, sea salt, and herbs, if available. After such a bath, when the skin of the legs is steamed out and the nails become soft, wipe them dry with a towel, and proceed directly to cutting the nails, from one edge to the other with small progressive movements. The corners of the nails can be processed with a nail file.
How to trim an ingrown toenail
Ingrown toenail
If you still have not managed to avoid such an unpleasant problem as an ingrown toenail, it is recommended to start fighting it as soon as possible. Therefore, already at the appearance of the first symptoms, proceed to eliminate the ingrown nail. To do this, similarly to the previous version of cutting nails, steam your legs in a warm bath. But instead of medicinal herbs, soda and liquid soap, add a little chlorkexidine or furacilin to the water in order to disinfect the surface of the legs and dissolve the dirt. After that, wipe your feet dry, and apply an antimicrobial ointment to the inflamed areas of the fingers. You can use, for example, Levomikol. After these manipulations, with a pre-disinfected wooden stick or nail file – whoever has something at hand, pry off the tip of the ingrown nail, try to straighten it and file it slightly. Now you can cut the edge of the nail in the center. Your nail plate, trying to grow together, will independently tighten to the middle and thereby free the skin, and you will forget about such a problem as an ingrown nail. The inflamed area of \u200b\u200bthe skin can be treated with brilliant green, and a small piece of sterile bandage can be placed under the nail.
Experts do not recommend completely removing an ingrown toenail, because instead of forgetting about this problem forever, you can get a recurrence of the disease.
How to cut nails for children
How to cut nails for small children
A person’s nails begin to grow even during the period when he is in the mother’s womb. Therefore, it is not surprising that some babies are born with a long “manicure”. True, the structure of the nail plates is still very soft, therefore, the child cannot yet scratch them. But, in order to still give the crumbs a well-groomed look, it is recommended to cut them. Some young mothers bite their children’s nails, but we do not recommend that you do this. It is better to send the newly-made dad for special children’s scissors and a nail file – they are sold in any pharmacy.
How to cut children’s nails
Please note that it is strictly forbidden for a child to cut nails with your scissors
. Such children’s scissors should have rounded tips. After you have purchased them, despite the fact that they were fresh from the store and were sealed in a package, be sure to disinfect them – either scald with boiling water or wipe with alcohol. Disinfection will need to be carried out every time before cutting the child’s nails.
Also make sure that in your home medicine cabinet you always have such a remedy as Fukortsin. If you suddenly inadvertently injure your baby’s finger during the nail clipping procedure, be sure to lubricate its surface with this disinfectant.
How to get your child to cut their nails
Most children don’t like cutting their nails. Little ones – at first they don’t understand what their parents want from them, and, having matured, they are afraid that mom or dad will hurt with scissors, therefore, it’s not worth counting on the fact that the fidget will sit still. Be patient, turn on the cartoon for the child, or wait until he falls asleep – the latter option is also extremely traumatic. A child in a dream can pull his hand and you can unwittingly hurt him. It’s better to agree that now he will sit quietly for a while, and then you will give him a delicious apple or other fruit. The reward system for good behavior must definitely work in this case too.
Do not forget at the end of cutting nails for his perseverance and obedience. Well, if the child begins to cry and hysteria, it is better to postpone cutting the nails for a more suitable time for such a procedure.
Children should not cut their nails too short, because in the case of such a systematic repetition, they may begin to grow incorrectly, the very shape of the nails will deteriorate and the child will experience discomfort. Try to fix your child’s fingernails several times a week, and his toenails several times a month.
At the same time, explain to your child the importance of taking care of your nails and keeping them clean and tidy. Explain to the child that dirt accumulates under his nails, which is not so easy to wash. And, this dirt – it is a source of infections. And, infections are fever, bitter medicines and even injections. By the way, very often it is the dirt under the nails that causes rotavirus infection, gum inflammation, candidiasis …
When the child is 7 years old, he can be taught to cut his own nails and encourage him to keep his hands neat and clean.
What causes improper nail cutting and how to avoid health problems
August 5, 2019
Health
Column
Perform this hygiene procedure correctly to prevent ingrown nails.
Alexey Mankevich
Assistant massage therapist and commercial writer.
The surgical clinic named after NL Kushch (Donetsk) still collects statistics on cases of onychocryptosis – ingrown nail plate. In 2010, surgeons Ivan Zhurilo and Valery Litovka conducted a study, studying the case histories of 329clinic patients. The results are thought provoking.
It turned out that ingrown nails are a fairly common phenomenon. In general, up to 10% of patients complained of swollen fingers or pain in the feet when walking – the consequences of ingrown toenails.
Roman Anatol’evich Shaposhnikov
Surgeon FBLPU “Polyclinic of the Ministry of Economic Development of Russia”, Candidate of Medical Sciences
Onychocryptosis is a consequence of a change in the direction of growth of the nail plate. The nail grows sideways, deforms and penetrates into the soft tissues of the nail fold, causing inflammation. Someone is trying to be treated on their own: they cut off the corners of the nail, and on top they also apply Vishnevsky ointment. You absolutely cannot do this! Such self-treatment is fraught with complications: from the growth of inflamed tissues to purulent bone inflammation (osteomyelitis) and even gangrene. All this as a result can lead to amputation of the nail phalanx.
The question arises: how to make sure that you do not fall into these 10%? It is enough to cut your nails correctly.
1. Take the time to prepare in 3 steps
Step 1. Prepare your nails
What happens if you try to cut a piece of potato chips with nail scissors? The chips will break. Something similar can happen with nails, especially on the legs. To prevent calcified growths from cracking, soak your hands and feet for a few minutes in warm water before cutting your nails.
Step 2: Prepare the tool
Trimming your nails can accidentally damage the cuticle or side ridge – it’s best if the blades are free of bacteria by now.
Be sure to disinfect scissors or wire cutters. To do this, immerse them for 10 minutes in alcohol or at least wash them in warm water and soap.
Step 3. Prepare the area for the haircut
It is unlikely that you will enjoy stepping on nails scattered all over the place, walking barefoot around the apartment. Yes, and ashamed in front of the guests. Therefore, before cutting, slip a towel under the foot / palm. Well, or just a trash can.
2. Do it regularly
The average human nail grows 1 mm per week. But you need to understand something else:
- Toenails can grow twice as slowly as on the hands.
- Nail growth rate varies from person to person.
Therefore, the frequency of cutting will have to be determined independently. Focus on the so-called smile line – the border beyond which the nail ceases to adhere to the skin. Behind this line, leave approximately 0.5–1.5 mm of the nail plate.
3. Maintain the correct shape of the nail
It is believed that on the hands the tips of the nails should be given an oval shape, and on the legs just cut in a straight line.