These "before (B) and after (A)" pictures are MY PATIENTS. IF YOU SEE THESE ANYWHERE ELSE, THEY WERE COPIED FROM ME. These nails represent various stages of the treatment process. Everyone's results will vary and the length of time for regrowth of your new nail will vary as well.

Tell me about the CoolTouch Laser

The CoolTouch CT3 laser is currently FDA cleared to treat acne scars, fine lines and wrinkles. The CoolBreeze mode is an exciting adaptation of the CoolTouch CT3 laser that has been shown to effectively treat toenail fungus in clinical trials (FDA clearance is pending). Invisible infrared light beams are used to safely treat fungal nails with no adverse side effects.

How does the laser work?

The Laser kills the fungus that lives in and under the toenail by use of 1320nm infrared light. The laser light passes through the toenail without causing damage to the nail or the surrounding skin. The Cool Touch Laser uses temperature monitoring to ensure safe treatment of the nail with minimal to no discomfort. Effectiveness of the laser is about 80%

How soon will I see results? (This question applies to ALL lasers currently in use)

At the time of the procedure, the toenail will not become instantly clear. It will take time for the previously infected nail(s) to grow out and the new nail to form. This can take 6 to 12 months depending on the rate of growth of the toenail. The average toenail grows 1-2mm monthly. Often times you will see early clearing of the nail as it regrows (as soon as 8 weeks).

How many treatments will I need?

A three treatment regimen is recommended to effectively treat the nails.

Is there any preparation I need to do before my appointment?

There is no specific preparation for the procedure other than the removal of any nail polish or nail decorations the day of or the day before. On the day of the procedure Dr. Kahan may file down the nails with a mechanical burr to reduce thickness of the infected nail and to remove any loose nail debris caused by the fungus.

Will the fungus (onychomycosis) come back?

Fungus is an infectious organism. Dr. Kahan will recommend precautions and treatments to help avoid reinfection. We strongly recommend continued topical treatment and anti-fungal shoe spray to help minimize reinfection. With any nail treatment, including oral medications there is a chance of reinfection because fungus is present throughout the environment.

Is the CoolBreeze laser FDA cleared?

First off it is very important to understand the meaning of "FDA Clearance." FDA Clearance has NO bearing on the devices safety or effectiveness (see FDA details here). There are currently NO FDA Approved Laser devices specifically for toenail fungus. The CT3PLUS is FDA cleared to market for dermatological general surgery, hemostasis, ablation, wrinkle reduction, mild to moderate acne vulgaris & acne scarring. Currently it is under clinical investigation for onychomycosis (nail fungus).

Is this covered by my insurance?

This is a non-covered treatment service by insurances. The cost is determined by the number of nails that are infected, and severity, but starts at a very affordable $275, which includes the three treatment protocol. The cost of the procedure may be applied towards a Flexible Spending Account (FSA) or Health Savings account (HSA) as a medical expense. We also accept and offer Care Credit with the option for interest free financing.

Who performs the laser procedure?

Only Dr. Kahan performs the laser procedure. Not all nail fungus is the same and therefore every treatment will require his expertise to determine the best protocol to produce the highest level of success

Do you have any other questions?

Please Contact The Office or call, 916-487-2383, if you have any other questions or concerns.

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