Frequently Asked Questions
This comprehensive Laser treatment was developed by a group of doctors, practicing in Florida, who had researched and tried all known modalities to treat fungus, and collaborated to create this packaged course of treatment. The research and development has never been sponsored or paid for by any drug or equipment manufacturer.
What does Laser Treatment include?
Laser Centers of America is a comprehensive Laser therapy treatment designed to eliminate fungus and improve the appearance of nails. The course of treatment consists of:
1. Initial evaluation by physician to clinically diagnose your fungus.
2. An individual treatment therapy course prescribed by the physician, which includes 4 treatment sessions;
- nail debridement,
- laser treatment weekly (4 treatments in total)
- topical medication.
3. Care Kit:
- proprietary topical medications
- household decontamination instructions,
- preventive regimen instructions.
You may have nail fungus if one or more of your nails are:
- Whitish to yellow-brown discoloration.
- Brittle, crumbly or ragged.
- Distorted in shape.
- A dark color, caused by debris building up under your nail.
- Smelling slightly foul.
Even if you have only one of these signs, you may have toenail fungus.
Does my insurance cover it?
The laser procedure is considered an Aesthetic procedure and therefore not covered by health insurance.
How much does it cost?
This whole course of treatment includes medical procedures with the use of multiple modalities (all toes are treated – not just the ones that appear to be infected), medications, products, sanitation instructions, and preventive regimen.
Every cost saving effort has been made to minimize costs and doctor fees.
Considering the efficacy and the comprehensive and all-inclusive approach, Laser Centers of America has the most cost effective course of treatment attainable for anyone who takes their nail fungus seriously.
How do I pay for the therapy?
Cash and credit cards are accepted by all locations.
All locations offer financing, including deferred payment plans and programs with low interest rates, which will bring your monthly payments to an affordable level. We now offer a program for a nominal charge where everyone gets approved regardless of their credit score.
Schedule your evaluation and discuss your payment options with Laser Centers of America.
Can you guarantee cold laser will work for me?
Although there is not guarantee, if you attend all appointments, follow all of the hygiene and re-infection protocols and follow the instructions from your podiatrist, that there is a VERY high chance that you will achieve clear, healthy nails. On average, clinical studies show approximately 70% treatment success, but 90% of treated nails demonstrate an increase in clear nail. Part of this success is because of our careful attention to detail from your first appointment to your last.
In our experience, the reason we find some patients do not achieve the results they’d hoped for with the laser is because of personal circumstances that result in not following the hygiene protocols to prevent reinfection from the patient’s home environment. As fungus spreads through spores which can still be present in your shoes, socks, and other surfaces (particularly moist, damp surfaces such as showers), you do need to follow instructions to minimize this risk. We find that most of our patients have no problem with this, and we make it easy with our home care pack you’ll receive containing all the information you need, as well as additional antifungal products.
If you fall into the 15% of patients that do not achieve the expected results, we will discuss your options with you.
What do I bring to the appointment?
Please bring anything that you’d typically bring to a doctors appointment, like your relevant medical history. Additionally, please bring a pair of socks that you can wear after the treatment to prevent reinfection. We also advise to bleach all socks you have at home or purchase new ones and spray your shoes with Lysol. Lysol eliminates bacteria and viruses and destroys any fungus lingering in your shoes.
We do advise that you don’t wear any nail polish on your toes to the appointment so that your Podiatrist can confirm the diagnosis of a fungal nail infection.
Can I pick up another fungal infection once mine goes away?
Just like stubbing your toe twice, it is possible for you to pick up another fungal nail infection. But just like wearing sturdy shoes to avoid stubbing your toe that second time, we provide you with the right tools and information to reduce this risk to our best ability.
As leading experts in this field, we equip you with everything you need to minimize this risk as much as possible. Our Hygiene and Re-infection guides outline everything you need to know about fungal nail infections, where you’re at risk of picking them up and how to avoid them. If there is anything you’re uncertain of, our expert team will be happy to answer all of your questions and is just a phone call away.
Does the laser hurt?
Not at all. The laser is completely pain-free with no heat or discomfort. It uses photochemistry as opposed to heat to destroy the fungus, which has no side effects. Your foot is not secured or ‘locked in’ to the cold laser device, so you are able to move it in or out at any time if you feel nervous. You will see two blue/pink/purple laser beams move over your feet and that’s all!
What are the side effects of cold laser?
None. Cold laser has absolutely no known side effects and has been extensively studied. That is, aside from treating nail fungus, boosting circulation and stimulating the immune response to clear the infection and reduce the risk of it coming back!
I’ve tried other treatments and they haven’t worked for me. How do I know the cold laser will work?
We guarantee that you are not alone in sharing this concern. We see patients daily that are frustrated after having tried countless costly ointments and creams from the pharmacy with no success.
Unlike topical ointments that have a success rate of 5.5% to 8.5% and oral medications that have a success rate of 70%-80% (with up to a 53% chance of re-infection), studies on our Lunula Cold Laser have repeatedly shown 89% increase in clear nail after 4 treatments. Our clinical experience backs this up, with over 4 out 5 patients extremely satisfied with their results and currently sporting clear, healthy nails.
While we can’t guarantee a 100% success rate due to re-infection risks that are out of our control (more so to do with your home environment and immune system), we can assure you that this is currently the best and most advanced solution for fungal nails available on the market and is used extensively worldwide.
Our clinics are dedicated to fungal nail treatments and this is our area of expertise. This means we’ve got all of the tools and information to prepare you for your best chance of success.
Can I have just one nail treated?
Our policy is to treat all ten nails to ensure that any trace of the infection, that may have spread without symptoms, have been eradicated. Toenails particularly, as they are tightly packed in socks and shoes, are a high risk for fungal spores spreading.
Does it hurt and what is the downtime?
Nails are not removed, and pain is not an issue during treatment sessions. There is no downtime or any discomfort after you leave the office. Unless prescribed otherwise by the provider, you can typically put your nail polish (if you have to do it) and get back to your regular activities without any restrictions. Make sure, however, to review instructions in your care kit to avoid any exposure to fungus.
What do they do during the treatment session?
Your toenails will be trimmed, cleaned and filed (debrided) prior to the laser treatment. The laser treatment will take about 12 min/foot to treat all toenails. A topical medication will be applied after the laser treatment is complete. Your physician will discuss post-treatment care to avoid re-infections.
Should my family members get treated too?
The British Association of Dermatology recommends that family members be assessed and if infected, be treated at the same time to avoid reinfection. If you have a fungal nail infection, there’s a good chance that your family members do too because of the surfaces you share like floors and showers, where fungus often spreads.
If you bring them in, we can check their feet and nails for any signs that an infection has started to form, free of charge. Having everyone that is at risk treated reduces that.
How is nail fungus spread?
Fungus reproduces and spreads through microscopic spores. These spores spread to surrounding surfaces through the air and can land on the skin and nails. When conditions are suitable, the fungus will grow and infect the nails and/or skin.
Ideal conditions for fungal growth are dark, warm and moist environments. This is why closed in footwear and sweaty feet are ideal for fungus to grow and thrive. Showers are also a common area where fungus spreads and infects the feet.
Do I need to take a day off work for the treatment?
No, there’s no recovery time needed after the laser as it is safe and painless. Simply put on your clean socks and shoes afterwards and you’re good to go!
How long is the laser appointment?
The first appointment takes approximately 30 minutes. During the appointment we get your history, assess your feet, physician confirms the diagnosis and starts the treatment. We prepare the nail if required.
Subsequent appointments to complete your laser treatment will last around 30 minutes.
What should I be doing at home throughout the treatment?
During your appointment, we will give you all of the information you need about managing your home environment to reduce the risk of reinfection so you can get the best results from your treatment. This ranges from sanitizing your shoes with Lysol and washing your socks with bleach.
Is laser the only part of the treatment or there are other steps?
Before the laser treatment, we start by preparing the nail. We may trim it back if needed and use a burr to reduce some of the fungus. After treatment, we coach you on everything you need to know to get the best results and minimize the risk of reinfection. This information is a critical key to success. Because the laser targets the fungus currently present on your nails and skin, re-infection must occur for the fungus to not clear. Knowing the right steps to take means you achieve the best outcome.
Will I need anesthetic for the treatment?
No. The wavelengths of the laser mean they do not cause any pain at all, meaning no anaesthetic is required.
Is there anyone that can’t use the Cold Laser?
Currently, our only exclusion for Cold Laser is women that are pregnant or believe they may be pregnant. This is not because any adverse effects have been found during pregnancy, but simply because this group have never been involved in the rigorous studies required to gain FDA approval. Safety and sound ethical procedures are one of our cornerstones, so we will not carry out the procedure where there is a chance of pregnancy.
When will I see results?
You will notice results within 3-4 months, depending on how quickly your toenails grow. New, clear growth begins to appear at the bottom portion of your nail as the diseased portion of the nail grows out. In about 9-12 months the nails should clear and grow out completely. You should stick to the LCA preventive regimen prescribed by the provider at all times.
Can the fungus come back?
Care Kit, house decontamination and preventive regimen instructions provided and discussed with every patient are designed to minimize the risk of re-infection. Your medical provider will take care of the fungus in your skin and nails, but it’s your job to prevent the relapse. Patient compliance is an important part of the success of treatment.
What anti-fungal products should I use?
Your doctor will give you a topical medication that will deliver the best results and provide you with a Care Kit.