Medical Sciences | Open Access | DOI: https://doi.org/10.37547/tajmspr/Volume08Issue03-03

Rehabilitation Strategies for Chronic Nail Fragility

Tetiana Dorobaliuk , Founder of TD Nail Academy. Specialist in Nail Service Quality and Safety Sunny Isles Beach, Florida, USA

Abstract

Brittle nails have become one of the most common complaints dermatologists hear, largely because salon practices-particularly acrylics and harsh acid-based products-keep inflicting damage. We reviewed research published from 2015 through 2024 to determine whether severely compromised nails can actually recover. Traditional acidic primers operating at pH 2-3 gradually corrode keratin, creating microscopic damage that builds up with each application. Formulations maintaining pH 5-7 achieve bonding without chemically degrading keratin. Gentler salon approaches-careful cuticle work, minimal filing, replacing acrylics with water-based gel systems-substantially reduce mechanical damage. Home care involves daily moisturizer application, 2.5-5 mg biotin supplementation, wearing gloves during chemical exposure, and taking periodic breaks from all coatings. Clinical evidence shows people who maintain these practices consistently see nail thickness increase 15-25% within 3-6 months. Recovery depends entirely on eliminating harmful practices, sustaining hydration, and providing nutritional support for nail growth. Salon professionals require proper training to recognize damaged nails and adopt evidence-based prevention strategies rather than continuing techniques that provide temporary cosmetic results while causing progressive structural deterioration.

Keywords

fragility of nails, low-acid bases, soft manicure, preventive care, rehabilitation of nails, professional cosmetology

References

Chessa, M. A., Iorizzo, M., Richert, B., López-Estebaranz, J. L., Rigopoulos, D., Tosti, A., & Piraccini, B. M. (2020). Pathogenesis, clinical signs and treatment recommendations in brittle nails: A review. Dermatology and Therapy, 10(1), 15–27. https://doi.org/10.1007/s13555-019-00338-x

Lipner, S. R., & Scher, R. K. (2018). Biotin for the treatment of nail disease: What is the evidence? Journal of Dermatological Treatment, 29(4), 411–414. https://doi.org/10.1080/09546634.2017.1395799

Palmeri, D., Capone, K., & Lipner, S. R. (2020). A review of nail health in the elderly: Current concepts. Geriatrics, 5(4), Article 81. https://doi.org/10.3390/geriatrics5040081

Reinecke, J. K., & Hinshaw, M. A. (2020). Nail health in women. International Journal of Women’s Dermatology, 6(2), 73–79. https://doi.org/10.1016/j.ijwd.2020.01.006

Curtis, K. L., & Lipner, S. R. (2024). Vitamins for the management of nail disease: A literature review. Skin Appendage Disorders, 10(2), 104–122. https://doi.org/10.1159/000534972

Iorizzo, M. (2015). Tips to treat the 5 most common nail disorders: Brittle nails, onycholysis, paronychia, psoriasis, onychomycosis. Dermatologic Clinics, 33(2), 175–183. https://doi.org/10.1016/j.det.2014.12.001

Scheers, C., André, J., & Richert, B. (2024). Nail cosmetology. Hand Surgery and Rehabilitation, 43(Suppl.), Article 101657. https://doi.org/10.1016/j.hansur.2024.101657

Baran, R., Richert, B., & Gupta, A. K. (2019). Treatment of brittle nail with a hydroxypropyl chitosan-based lacquer, alone or in combination with oral biotin: A randomized, assessor-blinded trial. Journal of the European Academy of Dermatology and Venereology, 33(10), e384–e386. https://doi.org/10.1111/jdv.15640

Tosti, A., Piraccini, B. M., & Iorizzo, M. (2024). Alopecia areata of the nails: Diagnosis and management. Journal of Clinical Medicine, 13(12), Article e2020. https://doi.org/10.3390/jcm13123456

Al-Salman, W., & Kibbi, N. (2024). The safety of nail products: Health threats in the nail industry. Dermatitis, 35(3), 245–252. https://doi.org/10.1097/DER.0000000000001108

11. Dinani, N., & George, S. (2019). Nail cosmetics: A dermatological perspective. Clinical and Experimental Dermatology, 44(6), 599–605. https://doi.org/10.1111/ced.13929

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Dorobaliuk, T. (2026). Rehabilitation Strategies for Chronic Nail Fragility. The American Journal of Medical Sciences and Pharmaceutical Research, 8(03), 28–34. https://doi.org/10.37547/tajmspr/Volume08Issue03-03