Over the last couple of years, the gel manicure has grown in popularity: Two-thirds of salons now offer the service, which is supposed to provide the long wear of an acrylic without the accompanying nail damage.
Still, mixed in with all the hype are complaints that gel nails do still chip, the polish can only be taken off by visiting a salon and drowning one's fingers in acetone, and horror of horrors, the color selection is lacking. Worse yet, they may cause serious nerve damage and infections. If something seems too good to be true, it probably is (a gel manicure).
The Cost of Resilient Nails
A post
on the Consumer Reports blog in April may further deter would-be gel
adoptees. Neurologist Orly Avitzur, a medical advisor for Consumer
Reports who practices in New York, scared the bejeezus out of
salon-goers with the story of one of her patients. After visiting
several physicians who could find no explanation for the electric
shock-like pain the patient felt along her forearm every time she put
any pressure on her thumb, the patient turned up in Avitzur's clinic.
After taking a patient history, Avitzur concluded that the patient's gel
manicure had caused nerve damage.
"This is likely a rare occurrence," says Avitzur, "Still, I doubt the number of these cases is being tracked."
"This is likely a rare occurrence," says Avitzur, "Still, I doubt the number of these cases is being tracked."
According to Avitzur, there are several points in the gel process that could be associated with health risks. Improper use or overuse of a nail file to prepare the nail for layers of gel can expose sensitive skin to chemicals or infection. Also, some salons may be mixing acrylic products with gel products or purchasing cheap gel products from manufacturers with little quality control. One particularly dangerous ingredient, a chemical called methyl methacrylate, can cause shortness of breath and irritate the eyes and skin.
"This patient probably didn't have a true gel manicure," says Avitzur, "but I plan on avoiding them myself and would not recommend them to others at this point."
A Miniature Tanning Bed for Hands
Gel manicures also require drying with an ultra-violet, or UV, lamp
in between each coat and at the end to set the gel. The ultra-violet
light used in tanning beds has been associated with increased skin
cancer risk, but is there a risk with gel manicures?
"Most cancers on the hands are found in people with extensive sun exposure," says Zoe Draelos, a dermatologist in High Point, North Carolina, "It's the cumulative lifetime exposure to UV light that is the risk."
"Most cancers on the hands are found in people with extensive sun exposure," says Zoe Draelos, a dermatologist in High Point, North Carolina, "It's the cumulative lifetime exposure to UV light that is the risk."
A case study by Austin-based University of Texas researchers in the "Archives of Dermatology" in April 2009 reported that two women developed non-melanoma skin cancer - cancer that occurs in the outer layer of the skin - on the tops of their hands from exposure to nail lamps. Both women were middle-aged, otherwise healthy, and had no cancer history. This does not prove that UV nail lamps definitely cause skin cancer; larger clinical studies will be necessary to determine a link.
Still, Draelos recommends using UV nail lamps in as limited a fashion as possible.
Another option may be to look for a salon that uses LED (light
emitting diode) instead of UV dryers. This month, the New York
City-based Shizuka salon began using LED dryers made by the Japanese company Nail Labo.
To Gel or Not to Gel
For those who have their hearts set on a gel manicure, but would rather avoid the potential risks of nerve pain, cancer and fungal infections, there may be an alternative. This spring, a company called CND announced the first 'hybrid' gel manicure. Called "Shellac," the hybrid is a marriage between gel and traditional nail polish that may be more nail-friendly.
The treatment is only available at salons, but does not require the same level of skill to apply as a gel. Moreover, the process of removing the polish minimizes exposure to acetone.
Regardless of what type of manicure is desired, Avitzur says, "at the very least women should choose a well-established salon with experienced and licensed techs."
Amber Angelle is a freelance writer in Brooklyn, NY who cares entirely too much about what her nails look like.