Welcome, Orange Coast readers
Better Nail Health Starts With a Personalized Plan.
Explore the NailCur approach with Dr. Ivar E. Roth—in our Costa Mesa office or through an at-home program for eligible patients.
Concerned about thick, discolored, or unhealthy-looking toenails? Start with an evaluation and a care plan built around your needs.
Medical evaluation required. Treatment recommendations and results vary.
The process behind the care
Four parts. One personalized approach.
The office-based program featured in Orange Coast brings together evaluation, laser treatment, professional nail care, and an ongoing home routine. Your plan may include some or all of these elements, depending on your evaluation.
Evaluation & Laser Treatment
Dr. Roth evaluates your nails and reviews your health history to help determine the cause of the changes. Testing may be recommended. If laser treatment is part of your plan, the office will explain the recommended sessions and costs.
Professional Nail Care
Your office care may include trimming or thinning thickened nails, along with practical instructions for caring for your nails between visits.
A Consistent At-Home Routine
Follow the routine prescribed for you, which may include topical products, nighttime nail covering, and care for the surrounding skin. Clear instructions help you stay consistent.
Individualized Medication & Support
Dr. Roth considers your medical history, current medications, and any necessary laboratory results before recommending prescription treatment. Supportive products and supplements may also be discussed.
Interested in patient examples? View the separate before-and-after gallery. Individual results vary; office-treatment examples do not establish results from at-home care alone.
An option for eligible California patients
Prefer to Begin From Home?
Personalized nail care, from the comfort of home.
The NailCur at-home program starts with information about your nails, photographs, and your medical history. Dr. Roth reviews your information and determines the next steps.
Some patients may need testing, additional medical information, or an office examination before a treatment plan can be finalized.
Start Your NailCur Screening →What happens next?
- Begin the screening and follow the instructions for submitting your information and nail photos.
- The office coordinates your evaluation and any additional information needed.
- After your treatment plan is approved and payment is arranged, eligible prescribed products can be shipped with home-care instructions.
Starting a screening does not guarantee eligibility or a prescription. The at-home program does not include office-based laser treatment.
Your NailCur starter kit
A Routine You Can Follow at Home.
A coordinated set of products and instructions to support your treatment plan.
- Antifungal spray
- NailCur paste, 30 mL
- Nail-covering tape and a small brush
- Nail supplements
- Oral medication, when prescribed
$299
Plus $10 flat-rate shipping.
Medication requires medical approval. Any applicable tax and additional charges will be disclosed before payment. Laboratory testing and office services are separate unless expressly included.
Explore the Starter Kit →
Meet your podiatrist
Ivar E. Roth, DPM, MPH
Personal attention. A plan for your nails.
Dr. Roth directs NailCur care through Concierge Podiatry & Spa in Costa Mesa. Your evaluation helps determine whether office-based treatment, an at-home plan, or further testing is the appropriate next step.
Meet Dr. Roth →Before you begin
A Few Helpful Answers
Should I choose laser treatment or at-home care?
You do not have to make that decision alone. Dr. Roth evaluates your concerns and recommends next steps based on your nails and medical history. Call the office if you would prefer help getting started.
What if I am not sure my nail changes are caused by fungus?
An evaluation is the place to start. Not all thickened or discolored nails are caused by fungus, and testing may be needed before treatment is recommended.
Does the $299 starter kit include laser treatment?
No. Laser treatment and other office services are separate from the at-home starter kit. The office will explain recommended services and pricing before you proceed.
Will I automatically receive oral medication?
No. Dr. Roth determines whether oral medication is appropriate after reviewing your health information. Additional laboratory results or information from another treating clinician may be needed.
How long does improvement take?
Toenails grow slowly, and visible changes can take months. Your timeline depends on your nails, diagnosis, and treatment plan. A cure or specific cosmetic result is not guaranteed.
Can someone help me get started?
Yes. Call 949-650-1147 for help with the next step or to discuss scheduling an office visit.
Take the First Step Toward Better Nail Care.
Begin online, or call our Costa Mesa office for help choosing your next step.
Concierge Podiatry & Spa
485 E. 17th St., Suite 500
Costa Mesa, CA 92627
Medical evaluation required. Eligibility, prescriptions, and treatment outcomes are not guaranteed. Some patients require testing or an in-person examination.