Toenail Fungal (Onychomycosis))

Fotona’s ClearSteps™ Onychomycosis Treatment is considered a patient-friendly method for treating onychomycosis (toenail fungal). It is a simple and effective procedure that uses the power of Nd:YAG laser light to heat evenly throughout the depth of the affected nail and skin tissue, weakening. It is also helpful in killing parasitic fungi which are the reason for infection in the patient's nails.

Safe and Effective, Without Side-Effects


The killing of parasitic fungus is stimulated by the deep, pulse-profile heating of the nail bed. This further enables the natural growth and immune processes of your body to restore your nail to its pristine state. In comparison to the traditional methods, the effects of laser light spread evenly throughout the tissue. These effects are not subject to the limits of chemical diffusion such as are topicals or the induction of hepatoxic side effects which is the case with oral medications.

ClearSteps™ is Performed in Three Simple Steps:

Step 1: File down the Nail. During the process of onychomycosis, the affected nail will become deformed and overgrown, and may even thicken. Filing down the nail enables the laser light to  penetrate completely into the treatment site.

Step 2: Regulate Nd:YAG laser pulses covering the entire nail circularly. Overlap the beam slightly so that the nail is covered completely so that the patient feels a slight heating sensation throughout the area.

Step 3: Target Nd:YAG laser pulses around the nail bed’s perimeter and the finger or toe. As in most cases,  parasitic fungus works its way beyond the nail bed, it needs to be eliminated in all the tissue surrounding the affected nail to prevent any recurrence.


Prior to Treatment


Every person wishing to be treated at Advanced Laser Clinic will require a consultation with our Laser Consultant prior to their first treatment.

At this appointment, we welcome all questions to advance your understanding of the treatment. There will be a consultation form to be completed about your health and medications to assess your eligibility for treatment.

A patch test will be performed on your skin to check if the laser settings are suitable for you or not. If there are no reactions 24 hours after your patch test, we can commence your laser treatment.

Before the laser therapy is performed, it is essential for you to keep your treated area away from sun exposure. Your skin needs to be protected from the sun for a minimum of two weeks before any treatment commences and should be taken care of both before and after the treatment. The lasers in this treatment provide a specific heat at a specific depth in your tissue to deliver a desired result. This result can be aggravated if exposed to sun and may even cause unwanted side effects on your affected area.


Procedure Time

Down Time

Skin Types

Price/ Procedure


Topical Anesthetic

20 mins.





Before & After



ClearSteps – Laser Onychomycosis Treatment: Assessment of Efficacy 12 months After Treatment and Beyond.  Jasmina Kozarev, M.D. Journal of the Laser and Health Academy, Vol. 2011, No.1. Read Full Text.

Treatment of Onychomycosis with a Long-Pulsed Nd:YAG Laser. Wanitphakdeedecha D. Journal of the Laser and Health Academy, Vol. 2011, No.1. Read Full Text.

Novel Laser Therapy in Treatment of Onychomycosis. Kozarev J, Vižintin Z. Journal of the Laser and Health Academy, Vol. 2010, No.1. Read Full Text.

A Novel Metod for the Treatment of Fungal Nail Disease with 1064 nm Nd:YAG. Yegor V.Kolodchenko,Vasyl I. Baetul. Journal of the Laser and Health Academy, Vol. 2013, No.1. Read Full Text.

Clinical studies & research