The best chance of curing your toenail fungus and giving you better looking nails occurs when the treatment is performed with the laser that is most effective at killing the fungus within your nails. There are many lasers available on the market and they work on different wavelengths of light, have different levels of power and have different methods of attempting to kill the fungus. The reality is that some work well and others do not.
All of the laser manufacturers claim that the lasers they make are the “best”, so it can be very confusing trying to determine the best place to get treatment for your nail fungus. The following information should help you find the best treatment.
After evaluating every laser on the market, we bought the Cutera GenesisPlus for laser treatment of fungal toenails in our Seattle clinic, primarily because it offers our patients the best chance at curing their nail fungus and giving them the best looking nails possible.
Why did we select this specific laser?
Before our office utilizes a treatment modality we need to have a high level of confidence that the treatment will be effective. The Cutera GenesisPlus Laser offers an number of advantages over other lasers:
How does the laser work?
Studies are not completely clear on the exact mechanism of action, but it is thought that the 1064nm wavelength laser is absorbed by the fungi causing damage to the fungus before there is any pain or damage to human tissue. There are likely two ways that this occurs: 1. Thermal damage of the fungus cells: Increasing the temperature of the nail plate and nail bed with laser energy to the point of destruction of the fungus cells, but not so hot to damage the nailbed or cause pain. 2. Photo-inactivation of the fungus cells: Photo-inactivation uses intense light, without heat, to destroy the wall of the fungus cell.
Besides the Cutera GenesisPlus, what other lasers are likely to effectively treat toenail fungus? We were also impressed with the Noveon Laser by Nomir. They currently have some good studies showing the effectiveness of their laser at killing fungus, although current published studies only go out 6 months from date of treatment. We didn’t choose the Noveon because they have yet to achieve FDA clearance and have very few installed lasers so there is comparatively little clinical experience to go by when determining effectiveness. We were also concerned because Nomir is a small company without the research and support infrastructure of Cutera. Although we are more confident of treatment success with the GenesisPlus, if there is a doctor in your area who is using the Noveon we think it is a valid treatment and you should be comfortable proceeding.
Do you want laser treatment for your fungal toenails? If you are in the Seattle area, contact us today for an appointment to find out if you are a good candidate for laser therapy for nail fungus. If you are outside of the Seattle metro area, and are interested in the treatment, we recommend finding a doctor who uses either the Cutera GenesisPlus or the Nomir Noveon lasers. We do not currently recommend treatment of fungal nails with other lasers.
Information on treating fungal nails with laser and other treatments
is available here:
• Laser Treatment of Toenail Fungus
• Nail Fungus Explained
• Guide to Best Lasers to Treat Toenail Fungus
• Diagnosis of Nail Fungus
• Causes of Thick Nails
• Treatment Thick Toenail
• Nail Fungus Home Treatment
• Prevent Re-infection of Nail Fungus after Treatment
• Oral Medication for Nail Fungus
• Topical Medications for Toenail Fungus
• Before and After Laser Treatment Pictures
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All pages on this website © 2005-2013
Douglas Hale, DPM & Lawrence Huppin, DPM
Foot and Ankle Center of Washington, Seattle
The material provided on this web site is for informative purposes only.
If you need specific medical advice, please contact the office for an appointment.