Nail Fenestration (The Lacuna Method)
Nail fenestration, also known as The Lacuna Method, is a specialist technique used to treat fungal nail infections by creating micro-channels through the nail plate. This allows antifungal treatments to penetrate more effectively to the site of infection.
It is a minimally invasive procedure that can significantly improve treatment outcomes when used alongside appropriate antifungal therapy.
When Is Nail Fenestration Recommended?
Confirmed Fungal Infection
Used after positive fungal nail testing.
Thickened Nails
Improves penetration through dense nail plates.
Poor Response to Treatment
Enhances effectiveness of topical antifungals.
Non-Surgical Option
Avoids the need for nail removal.
How Does the Lacuna Method Work?
Micro-Perforation
Tiny channels are created in the nail plate.
Enhanced Drug Delivery
Medication reaches the infected nail bed.
Minimal Discomfort
No injections or anaesthetic required.
Clinic-Based Procedure
Performed safely in a controlled setting.
Benefits of Nail Fenestration
Improves Treatment Success
Increases effectiveness of topical treatments.
Preserves the Nail
Avoids full or partial nail removal.
Low Risk
Minimal trauma and quick recovery.
Supports Long-Term Care
Works as part of a structured treatment plan.
Book a Nail Fenestration Consultation
If fungal nail treatment has been slow or ineffective, nail fenestration may significantly improve results. A consultation will confirm suitability and outline your treatment plan.