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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Improved Results, Lower Cost:

UPDATED: 02-June-2011

I have been performing laser toenail fungus surgery since the technology first came to market.

In the Beginning:

At first, I was less than satisfied with the results of laser toenail surgery. Approximately fifty percent of my patients got better with one treatment. At the cost of twelve hundred dollars per treatment I found this was unacceptable. I discussed this in detail with patients prior to performing their procedures. Often, patients would decide not to have the procedure due to the cost. Some chose to pay the full amount knowing that there was only a fifty percent chance of success.

Evolution: Better Results, Lower Cost!

The most  profound change has been switching from the original PinPointe Laser to the new Cutera Genesis Laser. The Cutera is 20 times stronger at 80 Watts compared to only 4 Watts.

I found early on that combining laser treatment with other treatments produced better results. I have combined the laser treatment with topical antifungals. Particularly, I find good results with NailPure, and NFT-20.

I also found that repeating the laser procedure three times produced much more satisfactory results. With a combination of repeat procedures and application of topical antifungals my results improved to approximately 70% success. This is just below the success rate of using oral antifungal medication like Lamisil but without the systemic side effects that the oral medicines cause.

In summary: I am now able to perform effective laser toenail surgery for a cost of $600 for 3 treatments.


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.