Background: Nail thickening of idiopathic or hereditary aetiology originating in the matrix is difficult to treat. Objective: The purpose is to describe an easy surgical technique to reduce the thickness of the nail. Methods and results: The result is achieved by shortening the matrix with an excellent cosmetic appearance in the newly formed nail plate. Conclusion: Nail thickening in Darier s disease originating in the matrix, and other similar hereditary or idiopathic conditions, may benefit from this surgical approach.
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