On September 1, 2025, the European Union officially banned a common ingredient in gel nail polish called TPO (trimethylbenzoyl diphenylphosphine oxide). For years, TPO was a behind-the-scenes chemical that helped gel polish harden and stay shiny. But now it’s been classified as a substance that may be carcinogenic or toxic to reproduction, based on animal studies. As a safer alternative, many are turning to Medical Pedicures, which offer more attention to foot health without the risks associated with harmful chemicals.
That’s a major red flag for European regulators, who decided to pull it from shelves immediately. Nail salons across the EU have had to toss their TPO-based products and switch to safer alternatives.
While there isn’t definitive proof that TPO causes harm in humans, early studies were troubling enough that Europe decided to act before the problem grew.
Dr. Miguel Cunha, founder of Gotham Footcare, explains it this way:“Think of it like a smoke alarm. If there’s even a hint of danger, it’s better to clear the room than wait for a fire to break out. The EU is choosing prevention over regret—and in medicine, that’s the smarter path every time.”
Here in the United States, TPO is still allowed. That means gel manicures continue without interruption, although some forward-thinking brands are already rolling out TPO-free gel lines.
Dr. Cunha’s advice:“If you’re getting regular gel manicures, it’s worth asking your salon what products they’re using. If they can’t confirm the polish is TPO-free, consider taking a break or exploring safer options. Your nail health is too important to gamble with.”
Beyond the ingredient list, gel manicures come with other health concerns that don’t make it into glossy Instagram posts:
This is where Gotham Footcare’s medical pedicures come in. Unlike salon pedicures that prioritize polish and pampering, a medical pedicure (or medi-pedi) focuses first on nail and skin health.
What makes a medical pedicure different?
Dr. Cunha puts it simply:“A salon pedicure is like putting makeup over a skin problem—it may look good for a while, but it doesn’t solve what’s underneath. A medical pedicure actually treats the issue, keeps nails healthy, and gives you the cosmetic benefit as a bonus.”
Patients who switch to medical pedicures often notice the difference right away:
And here’s the kicker: medical pedicures aren’t just for people with obvious problems. They’re for anyone who wants safe, expert-level nail care with results that last longer than a coat of polish.
If you’re not ready to give up gels completely, opt for TPO-free formulas. Brands like Manucurist, Aprés Nail, ProNails, OPI Intelli-Gel, and Aimeili are rolling out safer alternatives.
But remember: even without TPO, the risks of UV exposure and nail damage remain. Pairing occasional polish with routine medical pedicures is a smart way to balance beauty with health.
Q: Why did Europe ban gel polish?A: Because it contains TPO, which has been linked to possible health risks in studies.
Q: Is gel polish still legal in the U.S.?A: Yes, but it’s smart to ask for TPO-free options.
Q: What’s better for long-term nail health?A: A medical pedicure, which treats underlying issues instead of covering them up.
Q: How often should I get a medi-pedi?A: Most patients do well with every 6–8 weeks, though high-risk patients may need more frequent visits.
“We live in a city where appearances matter, but health matters more. A medical pedicure gives you both—healthy feet and nails that look their best. That’s something no polish can promise.”
Ready to upgrade from polish to prevention?📍 Visit Gotham Footcare and experience NYC’s most trusted medical pedicure.Your feet will thank you. Book here today.
At Gotham Footcare in NYC, we strive at recognizing your individual needs and desired outcomes while formulating an effective and personalized treatment plan with the highest quality care available.
What sets Gotham Footcare apart from other podiatry offices is our dedication to providing you with the education you need to make well-informed decisions regarding your care. Regardless of what your foot and ankle trouble may be, at Gotham Footcare our team will work tirelessly to help you feel better. At Gotham Footcare, we help you put your best foot forward.
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