FDA-cleared PinPointe Laser combined with thorough nail prep and an aggressive treatment protocol. No downtime, side effects, or repeated sessions.
"I've been ridiculed with ingrown toenails my entire life, I've started getting permanent procedures to help mitigate them. Anyone who has done the procedure can tell you it's a fairly moderate one wit..."
Islam Soltan
Google · Glendale
"Dr. Keshishyan is hands down one of the best doctor I've ever been to. From the moment you walk into his Sherman Oaks office, everything feels professional, organized, and welcoming. What truly sets D..."
Artur
Google · Sherman Oaks
"Dr. Keshishyan delivered outstanding care, combining deep expertise with genuine compassion. His professionalism and clear guidance made the entire experience both reassuring and highly effective!"
Nar Grigoryan
Google · Glendale
"Top doctor. Had a ingrown procedure and he really took care of it and made it as painless as a ingrown toe nail removal can be."
Al Usool
Google · Glendale
"Sam was wonderful."
Tom A.
Google · Pasadena
"Easy to book an appointment, very nice receptionist and the doctor is great!"
Matthew Ghukassian
Google · Glendale
"Had an amazing experience with NextGen! Dr. Keshishyan is a knowledgeable and patient physician. Office staff were super friendly and I was able to make an appointment quickly!"
Jessica Ketchedjian
Google · Glendale
"Best doctor I ever had, both professionally and as a person. Great guy and great care. Doctor visits are never fun, but this is as close as you can get. Took his time, explained everything and made th..."
Tobias
Google · Glendale
"Dr. Sam was perfessional and personable."
Earl Mounger
Google · Pasadena
"Good Doc, good listener and advice"
Jean Christensen
Google · Pasadena
"Doctor discovered other issues. Gentle with foot."
Thomas Dwyer
Google · Pasadena
"I've been to Dr. K twice now and he's awesome. Great bedside manner, cracks jokes, and makes you feel at ease. I like that he also always gives you all the options for care, and then will suggest what..."
Jolynn
Google · Pasadena
"Love Dr. Keshishyan for his gentleness, knowledge, and professionalism. I came in for a toenail that was ingrown and absolutely killing me and he made very quick work of removing the section that was..."
Richard Goulmassian
Google · Glendale
"Dr. Keshishyan was really great. I trust him bc he didn't force treatment when it wasn't necessary. Took my child in for ingrown toenails and he said it was mild enough to manage it ourselves and told..."
Sophia carey
Google · Pasadena
"Dr. Samvel Keshishyan is an absolute gem for the community! He treated my ingrown toenail with such care and precision, making what could have been a painful experience much easier. Not only did he ta..."
Sevan Harootonian
Google · Glendale
"I've been ridiculed with ingrown toenails my entire life, I've started getting permanent procedures to help mitigate them. Anyone who has done the procedure can tell you it's a fairly moderate one wit..."
Islam Soltan
Google · Glendale
"Dr. Keshishyan is hands down one of the best doctor I've ever been to. From the moment you walk into his Sherman Oaks office, everything feels professional, organized, and welcoming. What truly sets D..."
Artur
Google · Sherman Oaks
"Dr. Keshishyan delivered outstanding care, combining deep expertise with genuine compassion. His professionalism and clear guidance made the entire experience both reassuring and highly effective!"
Nar Grigoryan
Google · Glendale
"Top doctor. Had a ingrown procedure and he really took care of it and made it as painless as a ingrown toe nail removal can be."
Al Usool
Google · Glendale
"Sam was wonderful."
Tom A.
Google · Pasadena
"Easy to book an appointment, very nice receptionist and the doctor is great!"
Matthew Ghukassian
Google · Glendale
"Had an amazing experience with NextGen! Dr. Keshishyan is a knowledgeable and patient physician. Office staff were super friendly and I was able to make an appointment quickly!"
Jessica Ketchedjian
Google · Glendale
"Best doctor I ever had, both professionally and as a person. Great guy and great care. Doctor visits are never fun, but this is as close as you can get. Took his time, explained everything and made th..."
Tobias
Google · Glendale
"Dr. Sam was perfessional and personable."
Earl Mounger
Google · Pasadena
"Good Doc, good listener and advice"
Jean Christensen
Google · Pasadena
"Doctor discovered other issues. Gentle with foot."
Thomas Dwyer
Google · Pasadena
"I've been to Dr. K twice now and he's awesome. Great bedside manner, cracks jokes, and makes you feel at ease. I like that he also always gives you all the options for care, and then will suggest what..."
Jolynn
Google · Pasadena
"Love Dr. Keshishyan for his gentleness, knowledge, and professionalism. I came in for a toenail that was ingrown and absolutely killing me and he made very quick work of removing the section that was..."
Richard Goulmassian
Google · Glendale
"Dr. Keshishyan was really great. I trust him bc he didn't force treatment when it wasn't necessary. Took my child in for ingrown toenails and he said it was mild enough to manage it ourselves and told..."
Sophia carey
Google · Pasadena
"Dr. Samvel Keshishyan is an absolute gem for the community! He treated my ingrown toenail with such care and precision, making what could have been a painful experience much easier. Not only did he ta..."
Sevan Harootonian
Google · Glendale
A focused laser beam penetrates the nail plate and eliminates the fungus living underneath — in just one session, without pain, without drugs, and without downtime.
We don't rush this step. Every nail is carefully debrided and thinned so the laser energy reaches the fungal bed — not just the surface. This is where most clinics cut corners.
Using the FDA-cleared PinPointe™ FootLaser, we deliver targeted energy across the entire nail matrix. We take our time and make multiple passes for maximum penetration.
The entire procedure takes about 30 minutes — and that's it. One treatment. No anesthesia needed. No recovery period. Put your shoes back on and go about your day.
Why our approach is different: Most clinics spend 5–10 minutes per foot and skip nail prep entirely. We spend the time to properly debride each nail and make aggressive, thorough laser passes. It's not glamorous, but it's why our outcomes are better.
We believe in setting realistic expectations. Here's what the treatment journey actually looks like.
Your single treatment is complete. No visible change yet — the fungus is destroyed beneath the nail.
New, clear nail growth begins to appear at the base of the nail.
Significant clear nail growth visible. Toenails grow slowly — patience is key.
Full nail replacement for most patients. Severe cases may take up to 12–18 months.
Important: Toenails grow ~1mm per month. Anyone promising visible results in weeks is not being honest with you. We'd rather set the right expectation upfront.
Board-Certified Podiatrist · Founder, NextGen Foot
NextGen Foot was founded by Dr. Samvel Keshishyan, a Board Certified Podiatrist trained in the most complex deformities under the guidance of world-class podiatrists. Dr. K has brought his expertise together with his admiration for the latest technological advances in foot and ankle medicine and surgery. When it comes to toenail fungus, he uses the PinPointe™ FootLaser because it has the strongest clinical evidence, and pairs it with meticulous nail preparation and an aggressive treatment approach that most clinics skip. His goal is simple: give you the best possible outcome and be honest about what to expect along the way.
Book With MeYes — but let's be specific. Clinical studies show the PinPointe™ laser has an 85% success rate at clearing fungal infections in a single session. It works best when combined with topical antifungal treatment and proper nail hygiene. We'll assess your nails and give you an honest prognosis at your first visit. If we don't think laser is the right approach for your case, we'll tell you.
Most patients feel a warming sensation during treatment. Some describe brief, mild pinching when the laser passes over the nail. It's very tolerable — no anesthesia is needed, and no one has ever asked us to stop mid-treatment.
Just one. That's one of the biggest advantages of the PinPointe™ laser — most patients only need a single treatment session. Our thorough nail prep and aggressive laser technique means we get it done right the first time. We'll follow up to confirm the fungus is clearing as expected.
Two things: nail prep and treatment time. We thoroughly debride and thin each nail before lasing so the energy actually reaches the fungal bed. Then we make multiple aggressive passes rather than rushing through. Most clinics spend 5–10 minutes per foot — we take significantly longer because it produces better outcomes.
Not immediately — and anyone who tells you otherwise isn't being straight with you. The laser destroys the fungus, but the damaged nail still has to grow out. Toenails grow about 1mm per month. You'll start seeing clear nail growth at the base within 2–3 months, and full replacement takes 9–12 months for most patients.
Yes, reinfection is possible — fungal spores are everywhere. That's why we include a prevention protocol with every treatment: topical antifungal maintenance, shoe and sock hygiene, and environmental precautions. Following the protocol significantly reduces recurrence.
Laser treatment for toenail fungus is considered cosmetic by most insurance plans and is not covered. We offer transparent pricing and payment plans to make treatment accessible.
Book your consultation at our Glendale office. We'll examine your nails, give you an honest assessment, and build a treatment plan that works.
Explore our network of clinics across Los Angeles. Each office offers the same exceptional care in a modern, comfortable setting.
NextGen Foot & Ankle
800 S. Central Ave # 202
Glendale, CA 91204
Mon – Fri: 9:00 AM – 4:00 PM
