Advanced Nail and Skin Surgery
Advanced Nail and Skin Surgery in London
Feet By Pody offers advanced podiatry surgery for complex nail and skin conditions in a sterile, clinical setting.
These minor surgical procedures are strictly limited to skin and nail pathologies and do not address underlying bone, joint, or tendon disorders. For these conditions, you will need to see a podiatric surgeon or an orthopaedic consultant.
All advanced nail and skin surgical treatments are exclusively performed by Nicolas Ivanoff, Clinical Director and senior podiatrist at Feet By Pody, ensuring continuity of care and expert oversight.
Nail Surgery for Persistent Conditions
Our London-based podiatry clinics provide nail surgery for:
- Recurrent or infected ingrown toenails (onychocryptosis)
- Chronic nail deformities
- Nail trauma and dystrophy
- Fungal nail infections unresponsive to conservative care
- Cases where previous phenolisation has failed to resolve symptoms or regrowth
We offer both partial and total nail avulsion, with or without phenolisation. For complex or persistent cases, we perform incisional techniques such as:
- Winograd Procedure – wedge excision of the nail matrix and lateral nail fold
- Zadik Procedure – complete excision of the nail matrix via dorsal approach
Each patient receives a tailored treatment plan, including pre-operative assessment and post-operative care aligned with their medical history and lifestyle.
Skin Surgery for Resistant Lesions
Nicolas Ivanoff is trained in minor skin surgery to treat:
- Verrucae resistant to treatment such as acid, cryotherapy, needling or Swift
- Fibrous corns and deep-seated callus
- Benign skin lesions requiring excision or biopsy
- Hyperkeratotic lesions causing mechanical pain
Where clinically appropriate, excised lesions are sent for laboratory analysis with histopathology reporting, ensuring accurate diagnosis and informed follow-up care. All procedures are performed under aseptic conditions with structured aftercare to support healing.
Clinical Governance and Accreditation
Feet By Pody is an accredited practice under the Royal College of Podiatry Practice Accreditation Scheme, reflecting our commitment to clinical excellence, patient safety, and high-quality care. All surgical interventions follow NICE guidelines and the Royal College of Podiatry standards. Our clinicians engage in regular CPD and internal audits to maintain best practice.
Why use an alternative nail procedure?
Phenolisation remains a highly effective and widely used technique for permanent removal of the nail matrix in cases of recurrent ingrown toenails. It offers excellent long-term outcomes with minimal invasiveness and is often the first-line surgical option. However, as with all medical procedures, phenol treatment may occasionally fail to resolve symptoms or prevent nail regrowth.
In such cases, alternative surgical options are available. Procedures such as the Winograd or Zadik techniques provide an alternative, excisional approach for complex or recurrent cases.
Why use an alternative skin procedure?
Many common skin lesions on the feet, such as verrucae, corns, and callus, can be effectively managed using conservative podiatry treatments. These may include topical agents, cryotherapy, needling, Swift, scalpel debridement, or offloading techniques—often sufficient for mild or early-stage cases.
However, when lesions become persistent, painful, or resistant to standard care, advanced surgical intervention may be indicated.
At Feet By Pody, patients receive a personalised surgical plan guided by clinical history, symptom severity, and previous treatment outcomes—ensuring the most appropriate and effective care pathway is selected
Pre-Surgical Assessment:
Before undergoing any advanced nail or skin surgery, patients at Feet By Pody receive a comprehensive pre-operative assessment to ensure the safest and most effective course of care.
This consultation is conducted exclusively by Nicolas Ivanoff, Clinical Director and podiatrist, and is tailored to the individual’s medical profile, lifestyle, and treatment history.
Key Components of the Assessment Include:
- Full medical history review, including medication and allergy screening
- Discussion of previous foot treatments or procedures (e.g. prior phenolisation or cryotherapy, needling or Swift)
- Clinical examination of the affected toe or lesion, including depth, vascular supply, and skin integrity
- Assessment of footwear or mechanical factors contributing to the condition
- Exploration of patient concerns, expectations, and surgical goals
Based on this evaluation, a personalised surgical plan is created. This may involve choosing between chemical matrix ablation or incisional procedures (such as Winograd or Zadik techniques), or determining whether a skin lesion requires biopsy and histopathology following excision.
Patients are also briefed on anticipated recovery timelines, dressings, and aftercare protocols, ensuring they feel informed and supported throughout the surgical journey.
Why Choose Feet By Pody?
When considering advanced podiatric procedures, clinical expertise and continuity of care are paramount. Nicolas Ivanoff, Clinical Director at Feet By Pody, brings over two decades of experience in delivering precise, patient-centred surgical care for complex nail and skin conditions.
- HCPC-registered and a longstanding member of the Royal College of Podiatry
- Performs all advanced surgical procedures himself, ensuring specialist oversight at every stage
- Skilled in incisional techniques including Winograd and Zadik procedures
- Committed to evidence-based practice, with regular CPD and surgical audit
- Works in accredited clinical settings compliant with the highest standards of sterility and safety
With a reputation built on precision and transparent, compassionate care, patients can expect tailored treatment plans, thorough aftercare, and clear communication throughout the surgical journey.
You can make an appointment at any of our London clinics:
• Canary Wharf E14
• City EC2
• Woolwich Royal Arsenal SE18
• London Bridge SE1
• South Kensington SW7
To book an appointment or contact our foot care professionals contact Feet By Pody on 0207 099 6657, via email on [email protected], or book online.
