The most common causes that lead to the need for reconstruction:

Tblow (strike, accident, pressure)

• Bumps and bruises, tight shoes, falls
• The nail dark
• Very often in athletes, especially footballers, runners and hikers

“My nail lifted after the blow and never grew back properly.”

Fungal infections (onychomycosis)

• One of the most common causes
• The nail becomes thickened, yellow, brittle, and can eventually partially or completely disintegrate
• Following treatment, the appearance often remains permanently altered.

Note: Reconstruction doesn't cure fungal infections – it's an aesthetic solution after (or alongside) dermatological treatment.

Surgical procedures / medical causes

• Ingrown toenail surgery
• Nail removal
• Chronic inflammation
• Psoriasis, diabetes, autoimmune diseases

“After the nail was pulled out, it never grew back properly.”

Congenital changes and deformities

• Genetically weak or deformed nail
• Uneven growth, indentations, unnatural shape
• Aesthetically unacceptable, but medically „not for intervention“ - so the discomfort remains

Ageing / degenerative changes

• In older people – nails become thickened, yellowish, and crack
• Reconstruction restores a natural appearance, ease of care, and a better feel in footwear.

Psychological and emotional causes

• Chronic stress and trauma can lead to nail biting, picking, or unconsciously damaging the nail.
• Occasionally associated with disorders such as onychophagia (compulsive nail biting)