We offer the best laser technology currently on the the market. The Cutera Laser for Nail Fungus.

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At 80 Watts of power this new laser is 20 times stronger than previous generation lasers for nail fungus which were rated at only 4 Watts.

The Cutera Laser is a safe and effective treatment for nail fungus.
It penetrates inside the nail where the nail fungus (dermatophytes) reside, killing the fungus instantly.

The laser light passes right through the tough nail plate killing the fungus with minimal pain and no damage to the surrounding tissues.

The laser procedure is done right in our office. Procedures usually take 20-30 minutes. They do NOT require any form of anesthesia and have minimal pain.

Most patients will feel just some heat generated by the laser. No pain medication is required after the procedure and you can go right back to work or any activity immediately after treatment.

In order to increase effectiveness, for one price, we offer three laser treatments for nail fungus. The second treatment is performed two months after the first, and the next treatment is performed two months later.

You will not see results right away. The laser will not change your existing nails. As the new nail grows in, it shows signs of clearing from the bottom of the nail as it grows. This usually takes 6-12 months depending on how fast individual’s nails grow.

In order to increase the chances of success, we combine our laser nail fungus treatment with the use of the best anti-fungal topical medication which is available for sale in our office. The use of topical anti-fungal medications also helps to prevent recurrence of the fungal infection.

Often, we use our specialized cooling spray nail grinder to reduce any thick nail tissue in order to increase penetration of the laser. This is usually a painless procedure.

cutera genesis plus foot laser Lawrence Silverberg, DPM
Best Laser Toenail Fungus Treatment
20 E 46th Street
(Between Madison and Fifth)
New York, NY 10017
(212) 541-7397
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Welcome to City Footcare’s Laser Nail Fungus Site. To the left there is a brief introduction to Laser Nail Fungus Treatment and the new Cutera Laser. Below that to the left is a list of my most recent blog posts. Just below this box you will find blog posts about nail fungus and the treatment of nail fungus, mostly laser treatment but other information on nail fungus too. The above navigation buttons will take you around this site. I hope you find it informative. Feel free to contact me with any questions about nail fungus, laser treatment of nail fungus and any other related topic. – Dr. Lawrence Silverberg

Blog Posts are Below:

DISCLAIMER: All information presented on this website are the opinions of Dr. Lawrence Silverberg and The information, including but not limited to, text, graphics, images and other material contained on this website are for informational purposes only. The purpose of this website is to promote broad consumer understanding and knowledge of various health topics. It is not intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your physician or other qualified health care provider with any questions you may have regarding a medical condition or treatment and before undertaking a new health care regimen, and never disregard professional medical advice or delay in seeking it because of something you have read on this website.

Ethical laser nail fungus treatment (and topical treatment for nail separation)

This week I turned down three patients for laser nail fungus treatment. That’s right, I told three people NOT to pay me $600 each, $1800!

All three had separation of the nail form the nail bed soft tissue attachment. This causes the nail to look different in color in the area that it is separated.

This discoloration of the nail looks like nail fungus to the untrained eye. Very often, people come to my office with this separation of the nail from the nail bed, thinking it is fungus when it is not!

Laser will not fix this problem. Neither will topical medicines alone.

Treatment for separation of nails:

The only fix for this is to remove the part of the nail that is separated, all the way back to the area of good soft tissue attachment with cutting and grinding of the nail.

Once this removal is performed, then I advise patients to use topical medicine for the nails. I have formulated my own topical medicine for this purpose. This medicine also has an anti fungal medicine in it.

My product is called NailPure by Dr. Silverberg (Click for more info and to purchase online). The anti fungal ingredient is Tolnaftate. The multiple oil vehicle allows the Tolnaftate to penetrate the hard nail plate to reach the fungus. (Disclaimer: Tolnaftate is FDA approved for the treatment of athlete’s foot  (tinea pedis) and not for nail fungus (onychomycosis)) In the case of nail plate separation, however, it’s not the anti fungal that is important. It is the multiple oil vehicle. It contains tea tree oil, manuka tree oil, jojoba oil, sunflower seed oil, and sweet almond oil (and vitamin E). This unique combination of essential oils penetrate, emulsify, soften and hydrate the nail and surrounding skin. Additionally, NailPure contains acetic acid that whitens the nail to make it appear more normal very quickly. Acetic acid is a natural acid that makes vinegar have its characteristic smell and taste.

By treating the skin and nail, NailPure allows the nail to grow in and reattach to the nail bed having normal color and looking healthy.

The best topical antifungal for nails also works on nail bed separation:

Wow, what a tangent! I was talking about doing the right thing for these three patients, and got excited about introducing my new topical nail fungus treatment. I spent one and a half years working with my chemist in Florida to perfect NailPure. I tried many different combinations of ingredients and vehicles until I came up with the proper formula. I tested it on dozens of my patients and waited patiently while their nails grew in healthier without fungus, whiter, thinner, and more clear. I then discovered how well it worked for nails that were separated from the nail bed. I used to use topical urea gel or cream for these patients but I discovered that NailPure worked so much better.

Honestly, when I started developing NailPure, I did not think to use if for nail separation, but when I discovered how well the oil vehicle worked on the nail and skin, it was obvious. I had stumbled upon a new, amazing treatment for a previously very difficult problem to solve.

Going back to my original topic, these three patients were very grateful that I saved them *$531 by not performing the laser for nail fungus, that would have been unsuccessful. *Note: $600 minus $69 for the NailPure.

Unfortunately, many doctors as not as honest, ethical and altruistic as I am. They would have performed the laser nail fungus treatment for the money. You see, studies have shown the laser nail fungus treatment to be 70-80% effective. These doctors hide behind that statistic and tell these people that is why the laser did not work.

Other doctors may be mistaken to make an improper diagnosis of nail fungus when in fact it is separation of the nail plate. In my opinion, this is why many nail fungus treatments fail. It was never fungus.

Choosing a provider for Laser Nail Fungus Treatment:

In summary, when choosing a provider to take care of your nail fungus, make sure you go to a doctor that you know and trust. Get a recommendation from a friend or another doctor (or come to NYC to my practice). Question your doctor about if it is really nail fungus or separation of the nail plate. When in doubt, your doctor will send a (painless) clipping to the lab for evaluation under the microscope. And lastly, be weary of doctors advertising for laser nail fungus treatments. A doctor spending money on advertising will be looking for return on investment and willing to perform lasers on everyone that comes through the door inquiring. Keep in mind too, that the lasers are very expense pieces of equipment and doctors will be looking to pay off their leases… However, with all at said, most doctors are still ethical. There are just a few that are not to look out for.

As always, feel free to send me email questions on this topic. Dr. Silverberg

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