Secondary microsurgical reconstruction of nail problems in musicians

Nail reconstruction in musicians is an interesting and challenging undertaking for the surgeon. The second or third toenail is usually selected as a donor nail for fingernail reconstruction, because the size and shape are generally similar. A partial toe transfer from the great toe is preferred for the thumb. Reconstruction of the guitarist's dominant thumb is a typical indication for this rare procedure. The surgeon must bear in mind, however, that the cosmetic aspects cannot be overlooked in a musician who plays before the public. The surgeon, therefore, has to select the best procedure from the various methods available to provide the best functional and aesthetic result.