Are You Wasting Your Most Expensive Skincare Product?

Doubts on Medicated Nail Lacquer - Answered by Dermatologist

This article is created to address additional questions that arose after releasing my video on nail lacquer application, as well as a follow-up video responding to questions from the comment section. Using clear diagrams and figures, this article explains concepts and clarifies details that were not fully covered in the original videos, ensuring a thorough understanding of the nail lacquer process and related hygiene practices.

(Disclaimer: For safe and effective use of medicated nail lacquer, it’s best to consult your dermatologist or treating doctor for personalised guidance. Always follow your healthcare provider’s instructions to ensure proper healing and care. Public forums cannot replace expert medical evaluation for such sensitive issues. Read this article Ad FREE on Patreon)

Watch this video before you start reading this article.

Why Clean an Antifungal Lacquer Applicator with Alcohol?

Although the antifungal lacquer contains effective agents that kill fungi and is used on already infected nails, cleaning the applicator with 70% isopropyl alcohol remains essential to prevent contamination. This is because:

Fig. 1: Proper cleaning of the reusable applicator with an alcohol swab after nail cleansing.

• Fungal spores and nail debris produced during filing or application can adhere to the applicator or spatula before the lacquer fully dries and activates.
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  Fig. 2: Step-by-step guide: Filing the affected nail before antifungal treatment application.

• The lacquer's antifungal action primarily occurs after it has dried on the nail. Before drying, fungal elements on the applicator can survive and potentially contaminate the bottle or subsequent applications

  

  Fig. 3: Nail file after use on an infected nail, highlighting contaminated area and transfer risk to tools.

• The inside of the bottle, where the applicator resides, is divided into two zones

1. The lacquer-contact zone contains antifungal agents, preventing fungal growth.
2. The non-lacquer-contact zone (often near the cap area) does not get exposed to the lacquer and can accumulate fungal debris if contaminated applicators are inserted back.

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Fig. 4: Nail lacquer bottle showing closed, open, and applicator types with zones highlighted for contamination risk.

Types of Nail Lacquer Applicators in the Market

Fig 5: Comparison of two nail lacquer bottles: one with a disposable applicator (A), one with a fixed applicator (B), and a set of disposable spatulas shown below.

Two main types of antifungal nail lacquer bottles exist:

• Type A: The applicator is disposable and not fixed to the cap. It can be separately cleaned or replaced.
• Type B: The applicator is fixed to the cap, making its cleaning crucial to avoid contaminating the bottle interior.

The design influences how contamination risks are managed and highlights the importance of cleaning, especially for the fixed applicator type.Using a 70% isopropyl alcohol swab to clean the applicator prevents transfer of fungal spores from the infected nail to the bottle or lacquer, maintaining the sterility of the system.

Why Nail Lacquer Inside the Bottle Does Not Harbour Fungus?

The antifungal agents in the lacquer inhibit fungal growth inside the bottle and on the applicator surfaces that are in contact with the lacquer. Therefore, the lacquer itself and the lacquer-contact areas inside the bottle do not serve as reservoirs for fungal contamination.
However, the parts of the applicator and bottle interior that do not contact the lacquer can harbour fungal spores if contamination occurs during use. Hence, cleaning these areas with alcohol swabs is necessary to prevent fungal transfer.

The Problem with Cutting and Reusing Different Parts of the Same Long Nail File with Gaps

Fig. 6: Demonstration of why cutting and reusing nail file sections still risks contamination with fungal elements.

Though cutting a long nail file and reusing different sections with small gaps (e.g., 3mm) seems logical to avoid cross-contamination, it has significant drawbacks:

• Filing produces microscopic nail debris that easily contaminates more of the file surface than is visible.

Fig 7: Microscopic image of fungal hyphae found in nail infections, courtesy of Mikael Häggström, Wikimedia Commons.

• Fungal spores and pathogens can persist on areas of the file close to those used, potentially transferring between nails even if gaps are left between cut sections.

• This undermines the perceived safety of reusing parts of the file and risks spread or reinfection.

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This article incorporates original figures and images created by Dr Subramanian T, MD, and released under the Creative Commons Attribution-ShareAlike 4.0 International (CC BY-SA 4.0) license. You are free to share and adapt these materials for any purpose, including commercial use, provided that you follow proper attribution and share adaptations under the same license.

Figure attribution list:
Fig. 1: Cleaning_Applicator_With_Alcohol .jpg
Fig. 2: Filing_Affected_Nail_Step.jpg
Fig. 3: Nail_File_Infected_Nail_Demo.jpg
Fig. 4: Nail_Lacquer_Bottle_Components.jpg
Fig. 5: Disposable_vs_Fixed_Applicators.jpg)
Fig. 6: Nail_File_Reuse_Contamination.jpg)
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