Arquivos para agosto 5, 2022

Recently we spoke about nail porosity and ridged nails. So the question arose: what kind of problems might we have with product removal from ridged nails?  A ridged nail per definition has a surface problem, let’s have a look at some of those problems.

Unintentional nail plate damage

• When we soak off nail coatings, we use a wooden stick or a cuticle pusher to remove the last bits of product.
• The nail plate is softer after we remove the nail wraps, so we should take great care to not unintendedly damage the nail plate further.
• A menor pressão pode causar danos à superfície que podem causar ainda mais problemas no futuro.
• Use o líquido de limpeza durante o tempo alocado e reaplique se necessário.

Cumes abertos com contas 

• If we look closely at a nail plate with open beaded ridges, we can see that the base coat of our product will seep between the upper layers of the nail plate.
• Quando formos removê-lo por imersão, parte do produto permanecerá na placa ungueal; quando rasparmos com o empurrador de cutícula, abriremos a superfície superior da placa ungueal e causaremos ainda mais danos.
• If we file the product off with a hand file or e-file, we will also rip open the upper layers of the nail plate causing extra problems the next time.

Danos à placa ungueal

• If we repair the nail plate surface first, we won’t cause more damage. 
• Há produtos na placa ungueal que podem reparar as camadas superiores da placa ungueal antes da aplicação do produto.
• If you don’t have IBX you can use a product that is made to remain on the nail plate for longer than 14 days – maybe an Acrygel. 
• Be very careful to note the condition of your client’s nails and advise them on the importance of nail plate maintenance with a good quality nail oil.
• Remember when you do a rebalance that your client had ridges – don’t file them away!

Apenas cumes com contas

The other problem that we might see is that white superficial onychomycosis has developed.
This is a surface nail plate fungi, that needs to be treated with an antifungal product & oil before you apply any other products.
Some clients are more likely to develop WSO than others, it’s a part of their own resident microbiomes – you may get lucky, but you may also see this result. 
We can see that the client took care of her nail units with oil & lotion the proximal nail fold and lateral nail folds are in great condition and still, she has developed WSO.
Novamente, o IBX na placa ungueal reduzirá as chances de WSO.
In the case of this client, we recovered the nail plates with an anti-fungal product, applied IBX and used acryl as the base for her nail coatings with a primer as per the manufacturer’s instructions.

Pseudomonas aeruginosa

• O outro problema que podemos observar é que a pseudomonas aeruginosa encontrou seu caminho para a placa ungueal.
• Pseudomonas Aeruginosa is a bacteria that we carry with us in our resident microbiome.
• If it’s warm and the client has her hands in water a lot or does not maintain her nail coating with oil – we create the perfect environment under gel polish for PA to develop.
• A recuperação dessas placas de unha levou 8 semanas! 

É claro que esses problemas podem ocorrer não apenas nas unhas com sulcos após a remoção do produto, mas também nas unhas saudáveis e lisas. As unhas com sulcos são mais suscetíveis.