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How Laser Treatment Works

Simply stated, laser treatment consists of using specific light beams to attack very specific types of cells.  There are many types of lasers and many applications for lasers: cellulite reduction, hair removal, removal of vascular lesions and skin disorders such as rosacea, scar reduction, body sculpting, anti-aging – and now nail fungus! 

Why PinPointe?

The PinPointe FootLaser was the first clinically proven and FDA approved laser for the treatment of onychomycosis (toenail fungus).  It is the world’s only laser that was designed specifically for the treatment of toenail fungus. Since the development of the PinPointe laser, other laser manufacturers have modified hair removal lasers to also treat nail fungus.  But none of them target nail fungus the way PinPointe does. That is why we chose PinPointe – we want the very best for our patients.

Safe and effective, this in-office treatment has no harmful side effects, requires no anesthesia, causes minimal discomfort, and typically takes only 15-30 minutes to complete.

Frequently asked questions
How does the laser work?

This patented laser is specially designed to shine through your toenail and destroy the specific pathogens embedded in and under your nail causing the fungal infection. PinPointe’s unique combination of wavelength and pulse structure is absorbed by the fungus at a faster rate than the surrounding healthy tissue killing the fungus that lives in and under the nail. Micropulses of the Nd:YAG laser light pass through the nail without causing damage to the nail or the surrounding skin. Unlike CO2 lasers of the past, this laser safely destroys the fungi, molds and bacteria that often cause onychomycosis.  (See Case Studies for detailed efficacy data.)

Who qualifies for treatment?

There are no age or health restrictions or limitations – even pregnant women can undergo laser treatment.  However, there are some nail conditions that will not respond to laser treatments.  Your doctor may want to run special tests to make certain that you have nail fungus before proceeding with laser treatment.

Is the laser treatment painful?

No anesthesia is necessary and there is very minimal discomfort that most patients describe as a sensation of heat that can occur for just seconds at a time.  Some patients report a “tight” and warm sensation of the nail and surrounding skin for the first day, but state that it is very minor and does not cause any impediment to wearing their normal shoe gear or performing normal daily activities. Most patients who have the treatment return directly to work or normal activity immediately.

Is this treatment safe?

In clinical studies there have been no adverse reactions, injuries, disabilities or known side effects – unlike the oral medications that are commonly used to treat nail fungus.

Does it really work?

The clinical studies done this year reveal that over 72% of the treated nails show significant improvement after just one treatment.   To increase your success rate, we include two laser treatments in our package and provide other preventive measures (Clarus Antifungal Solution and Steri-Shoes to kill fungus in shoes and sock drawers).  Just as you brush your teeth everyday to avoid cavities, you will need to apply Clarus Antifungal oil to your nails daily to help prevent the recurrence of fungus – and make certain that all of your shoes have had the steri-shoe light treatment. With proper post treatment and continued preventive measures, most nails will remain fungus free!

How soon will I see improvement?

On average, a toenail will replace itself every 6-9 months and in some cases every 9-12 months. Healthy new nail growth will be visible within the first 3 months.  You may be interested in our KeryFlex nail system that can provide a clear, healthy nail that will last for several months (while you are waiting for you own clear healthy nail to grow out).  Click here for information on our KeryFlex Nail Restoration System.

Are Laser Treatments Covered by Insurance?

Because this treatment is considered aesthetic, health insurance plans do not cover laser treatment. We accept major credit cards and personal checks.  If you have a Flexible Spending Account or Medical Spending Account through your work this would be an eligible expense for reimbursement.

Before & After Photos


*Results may vary for each individual and treatment.

Patient Testimonial

 This video was originally sent to Dr. Iredale via an email as a way to say thank you to him and all of the team who helped her. We really enjoyed the patients perspective of the laser treatment. You may find it helpful as well as reassuring. Please keep in mind that all patients are different and your results may vary from that of this patient.

*Results may vary for each individual and treatment.

Call Central Carolina Foot and Ankle Associates at (919) 477-9333 for an appointment or click the link below.

Central Carolina Foot & Ankle Associates

4119 Capitol Street
Durham, NC 27704 
(near Duke Regional Hospital) 

5107 Southpark Drive
Suite 202
Durham, NC 27713 
(close to RTP and Chapel Hill)