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PUBLISHED FOR THE PERIOD OF JULY -2025
Holistic Beauty and Care: From Early Anti-Aging to Seasonal Wellness
This issue explores radiant beauty and wellness by combining innovative treatments with simple, effective seasonal care.
Starting with the exciting trend of thread lifts for early wrinkle prevention—a minimally invasive technique that naturally stimulates collagen, gently lifting and firming the skin for a youthful, refreshed look that lasts. Next, the importance of gentle nail care during humid weather is highlighted, offering expert tips to strengthen and protect nails, keeping them vibrant and healthy even in challenging conditions.
THIS ISSUE EXPLORES
RADIANT BEAUTY AND WELLNESS BY COMBINING INNOVATIVE TREATMENTS WITH SIMPLE, EFFECTIVE SEASONAL CARE.
Focus then shifts to the transformative power of radiofrequency treatments, which work beneath the surface to tighten, tone, and rejuvenate the skin, unveiling a smooth, glowing complexion full of vitality. As the monsoon season sets in, attention turns to foot care essentials to stay dry and healthy, sharing practical advice to keep feet comfortable, fresh, and well-nurtured throughout the rains.
Together, these insights create a holistic approach to personal care—embracing both cutting-edge beauty techniques and mindful, seasonal wellness.
- DOM DANIEL EXECUTIVE EDITOR & PUBLISHER
PREVENT WRINKLES EARLY: THE RISE OF THREAD LIFTS FOR LONG-TERM ANTI-AGING
GENTLE NAIL CARE FOR HUMID WEATHER CONDITIONS
17 22
MONSOON FOOT CARE: STAY DRY, STAY HEALTHY 06 11
TIGHTEN, TONE, TRANSFORM: HOW RADIOFREQUENCY IS RESHAPING SKINCARE
PREVENT WRINKLES EARLY: THE RISE OF THREAD LIFTS FOR LONG-TERM ANTI-AGING
INTRODUCTION
As time passes, the skin natural support system begins to weaken— connective tissues become thinner, elastic fibers lose their strength, and facial fat gradually shifts. This internal transformation reveals itself through visible signs such as sagging cheeks, drooping brows, a less defined jawline, and looseness around the neck. Fine lines deepen, under-eye puffiness appears, and mid-face volume diminishes, resulting in a tired or aged expression. In response to these subtle yet significant changes, thread lifting has beautifully emerged as a graceful, non-surgical solution for women seeking a naturally lifted and rejuvenated appearance. Once a technique used in surgical settings, it has evolved into a refined, standalone treatment using absorbable, barbed threads that gently reposition sagging skin while encouraging collagen renewal from within. The outcome is a softly sculpted, firmer face that retains its natural charm and expression. With minimal downtime and long-lasting results, thread lifting has become a preferred choice for modern women who value subtle transformation, elegance, and the balance between science and beauty. 1, 2, 3
HOW DOES A THREAD LIFT WORK?
Thread lifts work through a harmonious blend of subtle enhancement and long-term skin rejuvenation. Once gently placed beneath the surface, the threads provide delicate support by lifting and repositioning sagging skin, offering an instantly refreshed and more defined appearance. But the true beauty of this treatment unfolds over time. As the threads integrate into the skin, they activate the skin natural repair response, promoting collagen production—the essential building block of firm, elastic, and youthful-looking skin. This renewed collagen gradually strengthens and
revitalizes the skin from within, softening fine lines, improving texture, and restoring a natural glow. With both instant and progressive benefits, thread lifts offer a graceful and effective approach to skin renewal—one that enhances, rather than alters, your natural beauty.4
TYPES OF THREADS IN THREAD LIFTING
Thread lifting is a refined, minimally invasive technique that helps lift and contour the face without surgery. The results depend greatly on the type of thread used—each suited to different skin needs. At present, the main types of threads used include Polydioxanone (PDO), Poly-L-Lactic Acid (PLLA), and Polycaprolactone (PCL). Each works uniquely to firm, volumize, and rejuvenate, making thread choice key to achieving natural, long-lasting results.5
Polydioxanone (PDO) Threads
PDO threads are the most timetested and widely used. Made from a synthetic, absorbable material long trusted in medical sutures, they gently dissolve within 6 to 8 months. As they break down, they stimulate collagen production, helping the skin become firmer and more refined over time. These
threads are ideal for women in their 30s to early 40s noticing the first signs of skin slackness, particularly around the mid-face, jawline, and neck. Quick to show subtle results and low in risk, PDO threads offer an excellent introduction to non-surgical lifting. 5
There are three main types of PDO threads, each designed for specific rejuvenation goals:
• Mono Threads:
Smooth and fine, these threads are primarily used to tighten the skin and stimulate collagen production. They offer subtle firming and are ideal for early signs of skin laxity.
• Cog Threads:
Designed with tiny barbs, cog threads anchor into the skin to provide a more noticeable lifting effect. They are suitable for areas with moderate sagging, like the jawline or cheeks.
• Screw Threads:
Coiled and often doubled, screw threads help restore volume and definition in sunken or hollow areas, such as the mid-face or nasolabial folds.
Together, these PDO thread types allow for a customizable approach to facial rejuvenation, tailored to each individual unique needs.
Poly-L-Lactic Acid (PLLA) Threads
PLLA threads take the concept a step further. Derived from lactic acid, they are known for stimulating collagen more gradually but with greater longevity. Absorbing slowly over 12 to 18 months, these threads are especially beneficial for those with moderate to more advanced laxity. As collagen builds beneath the skin, the face begins to subtly regain lost volume and elasticity, delivering a soft, lifted appearance that evolves beautifully over time. The results are refined, long-lasting, and ideal for those who prefer a gentle transformation without abrupt change.5
THREAD LIFT PROCEDURE FOR AGING SKIN:
1. Preparation:
The patient is settled comfortably, and the targeted areas are thoroughly cleaned and prepared. Local anaesthesia is administered to maintain comfort during the entire procedure.7
2. Deep Layer Lifting:
Threads are carefully inserted near the hairline to target the deep tissues and ligaments beneath the
Polycaprolactone (PCL) Threads
The most recent addition to the thread family, PCL threads are designed for women seeking longer-term rejuvenation. These threads are highly elastic and are absorbed over 18 to 24 months, allowing them to create a more durable internal scaffold. As they slowly stimulate collagen and hyaluronic acid production, the skin becomes visibly firmer, suppler, and deeply revitalized. PCL threads are especially effective in treating more pronounced sagging in the jawline, cheeks, and neck, making them a preferred choice for those ready to commit to a treatment with extended results.6
skin. These threads lift and support sagging areas such as the cheeks, jowls, and jawline by tightening the underlying muscles and ligaments, reducing
wrinkles caused by skin laxity.7
3. Middle Layer Volume Support:
Next, additional threads are placed into the middle layer of the skin to restore lost volume and firmness. This placement supports hollow areas like the cheeks and stimulates collagen production for a longerlasting lift and improved skin elasticity.7
4. Superficial Skin Refinement:
Finer threads are then inserted just beneath the skin surface to smooth fine lines and enhance skin texture. This layer encourages collagen growth close to the surface, promoting a natural, youthful glow while gently tightening loose skin.7
5. Post-Procedure Care:
After the threads are positioned, any excess is trimmed and the insertion points are cleaned. Light support, such as paper tape, may be applied to help maintain the lift during healing.7
6. Recovery and Results:
The multi-layer approach of the 4M technique delivers natural-looking rejuvenation with results lasting up to two years. Patients can typically return to daily activities quickly, enjoying a subtle, non-surgical facelift that addresses sagging skin and volume loss effectively.7
DURATION OF RESULTS AFTER THREAD LIFTING
Thread lifting provides an immediate lift by repositioning
skin and tissue, with full rejuvenation developing gradually over 2 to 4 weeks as collagen production is stimulated. Enhancements in skin firmness, texture, and volume progress over 3 to 6 months, with effects lasting between 1 and 2 years. The duration depends on the thread type— PLLA and PCL offer longer effects than PDO—along with patient factors like age and skin quality, the treatment area, and the precision of thread placement. These combined factors create a natural, long-lasting refresh that evolves beautifully over time.8
ADVANTAGE OF THREAD LIFT
• Minimally invasive procedure with no need for surgery.
• Immediate lifting and repositioning of sagging skin.
• Stimulates natural collagen production, enhancing firmness and
• elasticity.
• Smooths fine lines and improves skin texture.
• Minimal downtime and lower risk compared to traditional facelift
• surgery.
• The treatment focuses on key areas such as the cheeks, jawline, and neck
• for a tailored rejuvenation experience.
• Provides subtle, natural-looking results that maintain facial expression.
• Convenient and effective non-surgical anti-aging option.
COMPLICATIONS OF THREAD LIFT
While thread lifting is a minimally invasive and generally well-tolerated procedure, certain complications can occasionally occur. Common short-term effects include mild bruising, swelling, tenderness, and minor bleeding, which typically resolve with proper aftercare. However, more persistent concerns such as dimpling, bulging, thread migration, and contour irregularities may arise, particularly if the threads are placed too superficially or under uneven tension. In rare cases, issues like preprotrusion or thread exposure can develop. Infection is also a potential risk if sterile technique is not maintained. These complications highlight the importance of careful technique and a thorough understanding of facial anatomy to ensure safe and natural-looking results. 9
CONCLUSION
Thread lifting has gracefully positioned itself as a modern, non-surgical solution for women seeking subtle yet noticeable facial rejuvenation. With high satisfaction rates, this gentle procedure offers a refreshed, youthful appearance without the downtime or intensity of traditional facelifts. Women appreciate not only the naturallooking results, but also the convenience, shorter recovery, and accessibility it brings. When tailored to one unique facial structure and aging concerns, thread lifting delivers results that feel as elegant as they look. As techniques continue to evolve, this minimally invasive approach remains a trusted choice for those desiring to restore firmness, redefine contours, and embrace their beauty with confidence and ease.
REFERENCES
1. Hong GW, Kim SB, Park Y, Park SY, Chan LKW, Lee KWA, Sydorchuk O, Wan J, Yi KH. Anatomical Considerations for Thread Lifting Procedure. J Cosmet Dermatol. 2025 Jan; 24(1):e16618. doi: 10.1111/ jocd.16618. Epub 2024 Oct 8. PMID: 39376117; PMCID: PMC11743344.
2. Adam A, Karypidis D, Ghanem A. Thread Lifts: A Critical Analysis of Treatment Modalities. J Drugs Dermatol. 2020 Apr 1; 19(4):413-417. doi: 10.36849/JDD.2020.3646. PMID: 32272519.
3. Hong GW, Park SY, Yi KH. Revolutionizing thread lifting: Evolution and techniques in facial rejuvenation. J Cosmet Dermatol. 2024 Aug; 23(8):2537-2542. doi: 10.1111/jocd.16326. Epub 2024 Apr 28. PMID: 38679891.
4. Lots TCC. Effect of pdo facelift threads on facial skin tissues: An ultrasonographic analysis. J Cosmet Dermatol. 2023 Sep; 22(9):2534-2541. doi: 10.1111/jocd.15761. Epub 2023 May 2. Erratum in: J Cosmet Dermatol. 2025 Jan; 24(1):e16596. doi: 10.1111/jocd.16596. PMID: 37128828.
5. Hong GW, Kim SB, Park SY, Wan J, Yi KH. Thread Lifting Materials: A Review of Its Difference in Terms of Technical and Mechanical Perspective. Clin Cosmet Investig Dermatol. 2024 May 6; 17:999-1006. doi: 10.2147/CCID.S457352. PMID: 38737945; PMCID: PMC11086642.
6. Contreras C, Ariza-Donado A, Ariza-Fontalvo A. Using PDO threads: A scarcely studied rejuvenation technique. Case report and systematic review. J Cosmet Dermatol. 2023 Aug; 22(8):2158-2165. doi: 10.1111/ jocd.15709. Epub 2023 Apr 6. PMID: 37021458.
7. Tang S, Sun Z, Wu X, Wang YY, Zhang J. An innovative thread-lift technique for facial rejuvenation and complication management: A case report. Medicine (Baltimore). 2018 May; 97(21):e10547. doi: 10.1097/ MD.0000000000010547. PMID: 29794731; PMCID: PMC6392964.
8. Lee WJ, Sim WY. "Evaluation of the efficacy and safety of thread lift for facial rejuvenation." J Plast Reconstr Aesthet Surg. 2012 Oct; 65(10):1322-9.
The monsoon season brings a welcome drop in temperature and a surge in atmospheric humidity. While the change is often refreshing, the persistent dampness in the environment can have less noticeable but significant effects on nail health. Although often treated as a purely cosmetic feature, nails are a vital part of the body outer protective structure. They serve to protect the tips of the fingers and toes, enhance fine motor function,
and can act as visible indicators of overall health. Their appearance— smooth, uniformly coloured, and well-shaped—can reflect not only hygiene but also nutritional status and systemic wellness. During monsoon months, excess moisture and fluctuating temperatures can weaken the keratin structure of the nails, making them more susceptible to splitting, peeling, softening, or discoloration. Prolonged exposure to wet environments also compromises
the natural barrier function of the nail plate and surrounding cuticle, increasing the risk of irritation and other nail-related issues. Given these challenges, it is essential to adopt a focused nail care regimen during this season. With proper hygiene practices, hydration, and protective measures, nails can remain strong, functional, and aesthetically healthy despite the humidity-heavy climate.
NAIL ANATOMY: THE FOUNDATION
OF HEALTHY NAIL CARE
Nails are more than just a style statement or a canvas for the latest polish—they are complex, living structures made primarily of keratin that protect the delicate tips of fingers and toes. Each nail consists of several key parts: the nail plate, which forms the visible surface; the matrix, where new nail cells are produced; the cuticle, serving as a protective barrier; and the nail bed, which supports and nourishes the nail. Appreciating this anatomy is essential for maintaining healthy nails. Here is a closer look at these components and their important roles in nail health.
• Nail Folds: These soft tissues frame the sides and base of the nail, serving as protective barriers that shield the nail plate and matrix from injury and external irritants.
• Cuticle (Eponychium): A thin layer of skin at the nail base, the cuticle works alongside the proximal nail fold to form a sealed barrier, safeguarding the sensitive nail matrix from bacteria, fungi, and other irritants.
IMPACT OF MONSOON ON NAIL HEALTH
The monsoon season introduces
• Mantle: This delicate layer of skin covers the matrix and the base of the nail plate, providing structural support to the nail foundation.
• Nail Matrix: Located beneath the proximal nail fold, the matrix is the growth centre where new nail cells (onychocytes) are generated. It is vital for nail formation, and any damage to this area can result in permanent changes to nail shape or texture.
• Nail Plate: The hard, visible part of the nail made up of densely packed keratin cells. It extends outward from the matrix, offering strength and durability to the nail surface.
• Nail Bed: The skin beneath the nail plate that nourishes and firmly anchors the nail to the fingertip or toe.
• Hyponychium: Positioned under the free edge of the nail, this protective barrier prevents dirt, microbes, and moisture from entering beneath the nail.
• Onychodermal Band: A narrow, colour-contrasting band at the nail tip marking the end of the nail bed. Changes in its appearance can sometimes indicate underlying health issue.1
sustained environmental humidity and frequent exposure to moisture, which can adversely affect the structural and functional integrity of the nails. The following are some of the common clinical impacts observed during this period:
• Softening of the Nail Plate: Excessive moisture can lead to increased hydration of the nail plate, causing it to become pliable and more susceptible to mechanical trauma, such as splitting or layering (onychoschizia).1
• Keratin Degradation:
Prolonged exposure to damp conditions may compromise the compact structure of keratin, the primary protein component of the nail. This results in increased brittleness and fragility.1
• Cuticle Disruption:
Repeated contact with water and changes in ambient humidity can cause desiccation or maceration of the cuticle. This weakens the protective barrier around the nail matrix, increasing vulnerability to environmental irritants.1
• Nail Discoloration:
Prolonged occlusion (especially in closed footwear) and retained moisture may lead to subungual debris accumulation or temporary discoloration of the nail plate, often presenting as yellowing or dullness.1
• Subungual Hygiene Concerns: The moist environment facilitates accumulation of dirt, sweat, and keratinous debris beneath the distal free edge, which may contribute to poor nail hygiene and increase risk for secondary complications.1
• Altered Nail Growth: Environmental stressors, including fluctuating temperatures and chronic moisture exposure, may affect the proliferative activity of the nail matrix, resulting in slowed or irregular nail growth patterns.1, 2
THERAPEUTIC CARE FOR MAINTAINING NAIL
INTEGRITY
1. Biotin Supplements
Biotin, a B-complex vitamin (B7), plays an essential role in keratin production—the protein that gives nails their strength. Supplementation has been shown to improve nail thickness and reduce brittleness, particularly in those with fragile or peeling nails. Consistent use over several months is generally required for noticeable results.2
3. Urea or Lactic Acid Creams
These keratolytic agents work by softening and gently exfoliating thickened or rough nail surfaces. Urea also hydrates and improves nail flexibility, reducing the tendency for cracking or splitting. Lactic acid promotes moisture retention and normalizes nail texture. These creams are ideal for brittle or hyperkeratotic nail conditions.3
2. Zinc and Iron Supplements
Both zinc and iron are vital for healthy nail growth. Zinc supports protein synthesis and immune function, while iron is critical for oxygen delivery and metabolic processes. Deficiencies in either mineral can contribute to thinning, ridging, or discoloration of the nails. Supplements are typically prescribed based on blood test results. 2
5. Hydrocortisone Cream
This mild corticosteroid is helpful in reducing inflammation, redness, or irritation around the nail folds and cuticles—especially in cases of dermatitis or cuticle trauma. Short-term use can help restore the protective barrier around the nail matrix. However, long-term use should be avoided without medical supervision.5
6. Topical Antifungal Agents
4. Topical Vitamin E or Keratin Serums
Vitamin E offers antioxidant protection and supports the repair of damaged nail tissue. Keratinbased serums help replenish structural proteins, reinforcing the nail plate and enhancing resistance to breakage. These topicals improve nail smoothness and shine with regular application.4
Moist conditions during the monsoon may encourage mild fungal colonization or discoloration of the nails. Medicated lacquers such as ciclopirox and amorolfine penetrate the nail plate and inhibit fungal growth. These treatments are typically applied regularly over several weeks to months for visible improvement.6
7. Antifungal Powders
Formulated with agents like clotrimazole, antifungal powders help maintain a dry environment within closed footwear by absorbing sweat and reducing the risk of fungal overgrowth. Their use is especially beneficial in hot and humid conditions when fungal infections are more likely to occur.7
8. Antiseptic Soaks
Soaks made with diluted povidone-iodine or saline solution help cleanse the nail folds, reduce microbial contamination, and soothe inflamed cuticles. Regular use supports hygienic maintenance, particularly when paired with proper drying and gentle cleaning practices.7
COMPREHENSIVE NAIL CARE AND HYGIENE FOR
HEALTHY NAILS
Maintaining clean, well-groomed nails is essential for appearance as
well as overall health. Proper nail care helps prevent fungal infections, painful ingrown nails, and skin issues around the nails. This is especially critical for individuals with diabetes, as foot infections can lead to serious complications. Nails reflect personal hygiene and character. Since they grow continuously, neglecting nail care can lead to bacterial build-up and leave a poor impression. Adopting mindful habits ensures nails remain strong, clean, and resilient through all seasons, including the challenging monsoon period.
1. Keep Nails Clean and Dry
Moist environments provide an ideal breeding ground for bacteria and fungi, increasing the risk of infections. It is essential to thoroughly dry nails and the surrounding skin after washing hands or feet.
2. Trim Nails Properly
Trimming nails straight across helps prevent ingrown nails, a common and often painful issue especially during humid seasons like the monsoon. The optimal time to trim is after a warm shower, when nails are softer and less prone to cracking. Use sharp, clean clippers, and smooth the edges with an emery board by filing gently in one direction— this prevents the nail plate from splitting or weakening.
3. Protect and Care for Cuticles
Cuticles serve as a protective barrier, guarding the nail matrix from bacterial and fungal invasion. Avoid cutting or forcefully pushing
back cuticles, as this can cause micro-tears and increase infection risk. Instead, maintain cuticle health by regularly moisturizing with natural oils such as almond or avocado oil, or applying specialized cuticle creams, which nourish and keep them supple.
4. Avoid Nail Biting and Using Nails as Tools
Nail biting introduces harmful microorganisms directly into the body and disrupts nail growth, leading to weakened, damaged nails. Additionally, using nails to force open objects or scratch surfaces can cause chipping, splitting, or lifting of the nail plate, compromising nail strength and increasing susceptibility to infections.
5. Use Gentle Nail Products
Harsh chemicals found in many nail polishes—such as formaldehyde and dibutyl phthalate—can weaken nails over time. Opt for polishes free from these ingredients and select acetone-free polish removers to avoid drying out nails. Applying a base coat before polish shields nails from staining, while a top coat enhances durability and prevents chipping, promoting healthier nails.
6. Keep Nails Hydrated
Similar to skin, nails require regular hydration to remain flexible and resistant to brittleness. Applying nourishing oils or cuticle creams before bedtime helps maintain
moisture balance, preventing common issues like peeling and cracking, especially in humid conditions where moisture fluctuations are frequent.
7. Manage Toenail Care Meticulously
Toenails often trap moisture and debris, which can lead to fungal infections or thickening of the nails. Regular trimming keeps toenails short and reduces injury risks. For thickened nails, soaking feet in warm salt water (one teaspoon salt per pint of water) for 5 to 10 minutes softens the nails, facilitating easier grooming.
8. Wear Proper Footwear
Well-fitting shoes that allow feet to breathe are crucial in preventing fungal nail infections. Alternate pairs daily to ensure complete drying and reduce moisture build-up. Choosing breathable footwear helps protect nail health by minimizing the conditions that promote fungal growth.
9. Maintain Hygiene of Nail Tools
Regular disinfection of grooming instruments like nail clippers, scissors, and files is essential to prevent the transmission of bacteria and fungi. Cleaning tools monthly with 70% or higher isopropyl alcohol effectively sterilizes them, ensuring safe and hygienic nail care.
10. Support Nail Health through Nutrition
Nail strength and growth rely heavily on internal nutrition. A balanced diet rich in protein, omega-3 fatty acids, and essential vitamins—including vitamins A, B-complex, C, zinc, and iron— supports keratin synthesis and repair mechanisms. Incorporate nutrient-dense foods such as fish, legumes, nuts, and leafy greens to promote robust and healthy nails.
ADDITIONAL TIPS FOR NAIL CARE DURING MONSOON
• Avoid digging out ingrown toenails: Self-treatment can worsen infections, seek professional medical care for safe and effective management.
• Dry nails thoroughly after water exposure: Moisture trapped under nails can weaken them and promote fungal growth. After drying, apply a nourishing oil or cuticle cream to maintain hydration.
• Do not walk barefoot in wet areas: Avoid walking barefoot on wet floors, especially in communal areas, as it increases the risk of fungal and bacterial nail infections.
• Use antifungal foot powders or sprays if prone to sweating: These products help absorb excess moisture and keep nails dry, especially when wearing closed shoes for extended periods.
CONCLUSION
Maintaining nail health during the monsoon requires a proactive and informed approach that goes beyond aesthetics. The combination of high humidity, constant exposure to moisture, and fluctuating temperatures can compromise the structural integrity of nails and surrounding skin, leading to a range of preventable issues—from fungal infections to brittle or discolored nails. Recognizing the functional role nails play in protecting the digits and reflecting internal health underscores the need for regular care. A regimen that includes proper hygiene, protective footwear, nutritional support, and mindful grooming practices can significantly reduce seasonal nail concerns. By paying attention to both environmental influences and internal wellness, nails can remain strong, resilient, and reflective of overall health throughout the monsoon season and beyond.
REFERENCES
1. de Berker D. Nail anatomy. Clin Dermatol. 2013;31(5):509-515. doi:10.1016/j.clindermatol.2013.06.006.
2. Scheinfeld N, Dahdah MJ, Scher R. Vitamins and minerals: their role in nail health and disease. J Drugs Dermatol. 2007 Aug; 6(8):782-7. PMID: 17763607.
3. Faergemann J, Swanbeck G. Treatment of onychomycosis with a propylene glycol-urea-lactic acid solution. Mycoses. 1989 Oct; 32(10):536-40. PMID: 2531288.
4. Williams HC, Buffham R, du Vivier A. Successful use of topical vitamin E solution in the treatment of nail changes in yellow nail syndrome. Arch Dermatol. 1991 Jul; 127(7):1023-8. PMID: 2064401.
5. Crawford F, Hollis S. Topical treatments for fungal infections of the skin and nails of the foot. Cochrane Database Syst Rev. 2007 Jul 18;2007(3):CD001434. doi: 10.1002/14651858.CD001434.pub2. PMID: 17636672; PMCID: PMC7073424.
6. Akhtar N, Sharma H, Pathak K. Onychomycosis: Potential of Nail Lacquers in Transungual Delivery of Antifungals. Scientifica (Cairo). 2016; 2016:1387936. doi: 10.1155/2016/1387936. Epub 2016 Mar 30. PMID: 27123362; PMCID: PMC4829734.
7. Hay R. Therapy of Skin, Hair and Nail Fungal Infections. J Fungi (Basel). 2018 Aug 20; 4(3):99. doi: 10.3390/ jof4030099. PMID: 30127244; PMCID: PMC6162762.
TIGHTEN, TONE, TRANSFORM: HOW RADIOFREQUENCY IS RESHAPING SKINCARE
INTRODUCTION
In today aesthetic space, the pursuit of healthy, youthfullooking skin has shifted from drastic interventions to more refined, non-invasive solutions. Among the most trusted treatments in modern aesthetic practice is radiofrequency (RF)-based skin tightening—a gentle yet clinically effective technology that firms the skin, improves contour, and enhances overall radiance. Skin
laxity is a natural part of the aging process. As the body collagen and elastin levels begin to decline— typically starting in the late 20s to early 30s—the skin gradually loses its structure and bounce. This results in visible signs of aging, including sagging, fine lines, and reduced definition along areas such as the jawline, neck, and abdomen.
Radiofrequency technology
addresses these concerns using controlled thermal energy delivered to the deeper layers of the skin. This focused heat stimulates collagen contraction and regeneration, improving firmness and elasticity over time. The surface remains unaffected, making the treatment non-invasive, safe, and suitable for various skin types. One of the key advantages of RF skin tightening is its ability to deliver natural-looking
results without surgery or downtime. The procedure is comfortable, quick, and often likened to a warm facial massage, making it an appealing option for those seeking subtle, progressive improvement in skin tone and texture. It has become a preferred option in aesthetic practices and wellness centres for individuals seeking visible rejuvenation while maintaining results through long-term aesthetic maintenance protocols.
PRINCIPLE: RADIOFREQUENCY SKIN TIGHTENING
Radiofrequency (RF) skin tightening operates on a simple yet sophisticated principle: the controlled delivery of electromagnetic waves generates therapeutic heat within the dermal layers, stimulating collagen production and encouraging the remodeling of existing collagen fibers. Unlike laser-based technologies that rely on light energy—which can be absorbed or scattered depending on skin type— RF energy travels as an electric current, uniformly heating tissue at targeted depths without disrupting the surface. This makes it especially well-suited for all skin tones and types. As the dermis reaches optimal thermal temperatures, collagen strands contract immediately,
PROCEDURE:
Each treatment begins with a consultation during which the practitioner assesses the skin condition, discusses concerns, and outlines realistic goals to develop a tailored treatment plan. The skin is then thoroughly cleansed, and a cooling gel is applied to enhance comfort and facilitate optimal delivery of radiofrequency energy. A specialised handheld RF device is used to deliver controlled thermal energy to the deeper layers of the skin, gently warming the tissues to approximately 40 to 45°C. This focused heat prompts immediate
producing a subtle tightening effect, while over time, fibroblasts are activated to lay down new collagen, reinforcing the skin architecture from within. By addressing both intrinsic aging, which reflects the skin natural biological timeline, and extrinsic aging caused by chronic sun exposure and environmental stressors, RF helps counteract the visible signs of laxity, sagging, and fine lines—delivering natural-looking firmness without invasive downtime.1
contraction of existing collagen fibres, while simultaneously encouraging gradual, long-term collagen renewal beneath the surface.2
The procedure is typically described as a warm, soothing massage, with minimal sensation or discomfort. Treatment sessions usually last between 30 and 60 minutes, depending on the area being addressed. Common target zones include the lower face, jawline, neck, abdomen, and upper arms—areas where skin laxity often becomes more apparent due to aging or lifestyle factors. Following treatment, mild redness or a sensation of warmth may be experienced, but these effects generally resolve within a few hours without intervention. For optimal and sustained results, a series of 4 to 6 sessions spaced 2 to 4 weeks apart is recommended. Thereafter, maintenance treatments every 6 to 12 months help preserve and enhance skin firmness and texture.2
With consistent care, RF skin tightening progressively improves skin tone, elasticity, and overall texture, resulting in a visibly firmer, smoother, and more refined complexion. This makes radiofrequency a trusted and effective choice in aesthetic care for those prioritizing natural, long-lasting skin rejuvenation.2
KEY BENEFITS OF RADIOFREQUENCY SKIN TIGHTENING
1. Effective Skin Firming and Facial Contouring
RF technology targets sagging and loose skin by stimulating collagen contraction and renewal, resulting in firmer skin and a naturally lifted, sculpted appearance— often enhancing the jawline into a desirable V-shape.3
2. Reduction of Subdermal Fat and Cellulite
The controlled thermal energy not only tightens skin but also aids in breaking down localized fat deposits and reducing cellulite, improving overall body contour and skin smoothness.3
3. Natural Collagen Stimulation for Lasting Rejuvenation
Gentle heating activates fibroblasts, promoting new collagen and elastin synthesis that supports long-term improvements in skin texture, tone, and elasticity.3
4. Comfortable Treatment with No Downtime
The procedure is well-tolerated,
typically described as a warm, soothing sensation, with no pain, no need for anaesthesia, and immediate return to daily activities without special postcare.3
5. Rapid and Visible Results with Sustainable Effects
Noticeable improvements are often seen after a few sessions, with results continuing to enhance over weeks, lasting up to 1–2 years with proper maintenance.3
6. Proven Safety and Versatility
RF treatments are FDA-approved, safe for all skin types, and applicable to multiple areas—including face, neck, abdomen, and arms—making it a versatile and trusted choice in non-invasive aesthetic care.3
IDEAL CANDIDATES FOR RF SKIN TIGHTENING
• Individuals with mild to moderate skin laxity or early signs of aging, seeking non-surgical solutions to improve skin firmness and tone.4
• Those experiencing natural collagen decline, fine lines, sagging, or skin looseness following weight loss or pregnancy (not during pregnancy).4
• Treatments stimulate collagen production, leading to gradual, natural improvements in skin quality and elasticity over several months.4
• Best suited for individuals in good overall health with realistic expectations, understanding results vary based on age, skin condition, and lifestyle.4
• RF skin tightening offers a convenient, non-invasive option with no downtime, suitable for busy lifestyles and year-round treatment on multiple body areas.4
• Safe and effective for all skin types and tones, making it an inclusive choice in contemporary aesthetic care.4
COMBINING RF WITH OTHER TREATMENTS
Combining radiofrequency (RF) skin tightening with other aesthetic treatments can enhance overall results by targeting multiple aspects of skin health. This integrated approach leverages the strengths of different therapies to deliver more comprehensive and effective skin rejuvenation.
• RF and Microneedling
Combining RF with microneedling enhances collagen production and skin remodeling. Microneedling creates micro-injuries that trigger healing, while RF adds controlled heat to stimulate deeper collagen renewal, improving skin texture and firmness.5
• RF and Injectable Skin Boosters
RF paired with injectable skin boosters offers both firming and hydration benefits. While RF tightens and stimulates collagen, skin boosters restore moisture and plumpness, resulting in a refreshed and youthful complexion.6
• RF and LED Light Therapy
RF combined with LED light therapy reduces inflammation and promotes skin healing. The thermal effects of RF boost collagen, while LED light improves tone and clarity, enhancing overall skin radiance and health.7
CONCLUSION:
Radiofrequency skin tightening is a sophisticated, non-invasive solution that effectively addresses common signs of aging by stimulating collagen and elastin production while promoting cellular renewal. This treatment improves skin firmness, texture, and tone and offers contouring benefits for the face and body. Suitable for various skin types, RF represents a safe, comfortable, and accessible option for those seeking natural, long-lasting rejuvenation without surgery or downtime. It serves as a proactive investment in skin health and aesthetic refinement, helping individuals age with confidence and radiance.
REFERENCES
1. Shin J, Sung Y, Jin S, Hwang C-L, Kim H, Hong D, Jung KE, Seo Y-J, Lee Y. Efficacy and Safety of Monopolar Radiofrequency for Tightening the Skin of Aged Faces. Cosmetics. 2024; 11(3):71. https://doi. org/10.3390/cosmetics11030071.
2. Alvaro P, Alberto O, Matia F, Beatrice Marina P. An innovative temperature-controlling handpiece for face and body skin laxity and tightening treatment with radiofrequency. Skin Res Technol. 2023 Jun; 29(6):e13385. doi: 10.1111/srt.13385. PMID: 37357641; PMCID: PMC10246699.
3. Shu X, Wan R, Huo W, et al. Effectiveness of a Radiofrequency Device for Rejuvenation of Aged Skin at Home: A Randomized Split-Face Clinical Trial. Dermatol Ther (Heidelb). 2022; 12(4):871-883. Doi: 10.1007/ s13555-022-00697-y.
4. Dayan E, Chia C, Burns AJ, Theodorou S. Adjustable Depth Fractional Radiofrequency Combined With Bipolar Radiofrequency: A Minimally Invasive Combination Treatment for Skin Laxity. Aesthet Surg J. 2019 Apr 8; 39(Suppl_3):S112-S119. doi: 10.1093/asj/sjz055. PMID: 30958550; PMCID: PMC6460431.
5. Kaplan H, Kaplan L. Combination of microneedle radiofrequency (RF), fractional RF skin resurfacing and multi-source non-ablative skin tightening for minimal-downtime, full-face skin rejuvenation. J Cosmet Laser Ther. 2016; 18(8):438-441. doi:10.1080/14764172.2016.1228981.
6. Rho NK, Kim HS, Kim SY, Lee W. Injectable "Skin Boosters" in Aging Skin Rejuvenation: A Current Overview. Arch Plast Surg. 2024 Nov 13; 51(6):528-541. doi: 10.1055/a-2366-3436. PMID: 39544509; PMCID: PMC11560330.
7. Cohen M, Austin E, Masub N, Kurtti A, George C, Jagdeo J. Home-based devices in dermatology: a systematic review of safety and efficacy. Arch Dermatol Res. 2022 Apr; 314(3):239-246. doi: 10.1007/s00403021-02231-0. Epub 2021 May 3. PMID: 33938981; PMCID: PMC8918178.
MONSOON FOOT CARE: STAY DRY, STAY HEALTHY
INTRODUCTION
The monsoon brings muchneeded relief from the summer heat, but it also creates the perfect conditions for foot-related health problems. The combination of high humidity, exposure to dirty rainwater, and prolonged dampness can seriously affect foot hygiene. During this season, foot often remain enclosed in wet shoes or socks for long hours, which encourages the growth of fungal and bacterial organisms.1
One of the main contributors to foot problems during this season is
the retention of moisture. Wearing non-breathable footwear causes the skin to stay wet and become soft—a state that makes it more vulnerable to damage. This environment supports the growth of harmful organisms. Walking through puddles or dirty rainwater increases the chances of infection, especially if the skin has small cuts, cracks, or peeling areas. Closed shoes made of materials like leather often make the problem worse by trapping sweat and limiting ventilation.¹
Many individuals experience
discomfort during the monsoon due to constant exposure to moisture and unclean surfaces. Common signs include itching, skin peeling, unpleasant odor, and a burning or stinging sensation. These symptoms, if ignored, can lead to more serious complications that may require professional care and extended recovery time.¹
RELATED Foot CONDITIONS
During the monsoon season, several common foot conditions arise due to prolonged exposure to moisture and damp environments. One of the most frequent issues is athlete foot, a superficial fungal infection that typically begins in the spaces between the toes. This infection causes intense itching (pruritus), redness (erythema), burning or stinging sensations, and noticeable peeling or scaling of the skin. In more severe or untreated cases, small fluid-filled blisters (vesicles) may develop, and a foul odor can result from fungal and bacterial activity.1
Another significant problem is skin maceration, which occurs
when the foot remain wet for extended periods. The constant moisture causes the skin to become soft, pale or white, and fragile. This weakened skin barrier is highly vulnerable to secondary infections caused by bacteria and fungi. The soggy skin condition also creates an environment conducive to bacterial overgrowth, which often leads to unpleasant foot odor. If left unmanaged, these infections and skin changes can cause discomfort, pain, and increase the risk of more serious complications. Proper foot hygiene and drying are therefore essential to prevent and manage these conditions during the rainy season.1
COMMON TREATMENTS AND ANTISEPTICS FOR Foot CARE
1. Topical Anti-fungal Treatment
For many foot issues like fungal infections, athlete Foot, or minor skin irritations, topical antifungal treatments are often the first step. Over-the-counter antifungal creams such as clotrimazole, miconazole, and terbinafine are commonly used to eliminate fungi and reduce symptoms like itching and redness.2
2. Systemic Antifungal and Antibiotic Treatment
Fungal or bacterial infections of the foot that are more severe or persistent may require oral medications. Oral antifungal drugs such as terbinafine and itraconazole are prescribed for infections that do not respond to topical creams. These systemic agents work by targeting the infection from within and are especially useful in cases where surface treatments are insufficient.3, 4
For bacterial infections, oral antibiotics like cephalexin and amoxicillin-clavulanate help treat the infection systemically and promote faster recovery by reducing bacterial load and inflammation. These are typically used in infections that have spread beyond localized areas.3, 4
In more serious infections, particularly in individuals with underlying health conditions, systemic antibiotic therapy becomes essential. Oral antibiotics such as clindamycin, ciprofloxacin, and fusidic acid may be used to treat deep or widespread infections and help prevent complications. The choice of antibiotic depends on the severity, suspected causative organisms, and individual risk factors. Early identification and initiation of appropriate systemic therapy are crucial for effective management and to avoid progression.5
3. Antiseptic Solutions and Foot Baths
Antiseptics are used to clean wounds and prevent infections in foot care. Common agents include povidone-iodine, chlorhexidine, benzalkonium chloride, and chloroxylenol, all effective against bacteria and fungi. Hydrogen peroxide helps remove debris but should be used carefully, while isopropyl alcohol is suitable for disinfecting intact skin.6
MOISTURIZING AND NATURAL Foot CARE
• Moisturize with Care
Use light moisturizers like coconut oil, almond oil, or urea-based creams to prevent dry, cracked heels, especially in rainy weather. Apply only to the soles and heels— never between the toes—to avoid promoting fungal infections.
• Try Safe Natural Remedies
Neem oil and tea tree oil offer antifungal and anti-inflammatory benefits, while turmeric and henna leaf paste have mild antimicrobial effects. Apply to clean, dry skin and perform a patch test to check for any allergic reaction.
• Maintain Dryness and Skin Integrity
Use antifungal or antiseptic foot powders daily to keep foot dry and prevent fungal growth. Barrier creams can help protect the skin, prevent cracks, and reduce the risk of infection.
ESSENTIAL Foot CARE GUIDELINES FOR THE MONSOON SEASON
• Keep Foot Dry When Outdoors
Carry an extra pair of dry socks and a clean towel if you are likely to get wet. Moisture retention increases the risk of fungal and bacterial infections.
• Disinfect Footwear Regularly
Use antiseptic sprays or solutions to clean shoes after exposure to rain or muddy areas to reduce microbial load.
• Allow Natural Drying and Air Exposure
Expose foot to fresh air and sunlight whenever possible to aid drying and reduce fungal colonization.
• Avoid Prolonged Use of Wet Footwear
Refrain from wearing damp shoes for extended periods, and do not store them in dark, humid areas that promote fungal growth.
• Prioritize Nail and Skin Monitoring
Conduct regular checks on foot and toenails, especially in individuals with diabetes or circulatory issues, to detect early signs of infection or skin breakdown.
• Maintain Daily Hygiene
Wash foot twice daily using mild soap and lukewarm water; dry thoroughly with a clean towel, particularly between the toes. If water access is limited, use
antiseptic wipes as a temporary measure.
• Initiate Early Treatment for Symptoms
At the first sign of itching, peeling, or redness, begin using topical antifungal creams or ointments. Seek medical advice if symptoms do not improve within a few days.
• Choose Appropriate Footwear
Select open, waterproof sandals for better ventilation during wet conditions. Avoid fully enclosed or leather shoes that trap moisture. If closed footwear is necessary, keep an extra dry pair and ensure all shoes are completely dried in sunlight between uses.
CONCLUSION
The phase of increased humidity and precipitation introduces several risks for the foot due to sustained exposure to moisture and unhygienic conditions. When skin remains damp for prolonged durations, especially in enclosed footwear, its protective function deteriorates, increasing vulnerability to microbial invasion. Even minor skin irregularities can lead to infections if overlooked. While these complications are largely preventable, they require consistent attention to foot hygiene, protective habits, and prompt therapeutic response when needed. A thoughtful and preventive approach to foot care during this phase significantly reduces the incidence of infections and helps maintain overall skin integrity and functional health.
REFERENCES
1. Ju HH, Ottosen M, Alford J, Jularbal J, Johnson C. Enhancing Foot care education and support strategies in adults with type 2 diabetes. J Am Assoc Nurse Pract. 2024; 36(6):334-341. Published 2024 Jun 1. doi:10.1097/ JXX.0000000000000998.
2. Hay R. Therapy of Skin, Hair and Nail Fungal Infections. J Fungi (Basel). 2018; 4(3):99. Published 2018 Aug 20. Doi: 10.3390/jof4030099.
3. Elewski B, Tavakkol A. Safety and tolerability of oral antifungal agents in the treatment of fungal nail disease: a proven reality. Ther Clin Risk Manag. 2005; 1(4):299-306.
4. Lipsky BA, Baker PD, Landon GC, Fernau R. Antibiotic therapy for diabetic Foot infections: comparison of two parenteral-to-oral regimens. Clin Infect Dis. 1997; 24(4):643-648. doi:10.1093/clind/24.4.643.
5. Uddin A, Russell DA, Game F, Santos D, Siddle HJ. Variation in Systemic Antibiotic Treatment for Diabetic Foot Osteomyelitis in England and Wales: A Multi-Centre Case Review. J Clin Med. 2024; 13(11):3083. Published 2024 May 24. Doi: 10.3390/jcm13113083.
6. Bednarek RS, Nassereddin A, Ramsey ML. Skin Antiseptics. In: StatPearls. Treasure Island (FL): StatPearls Publishing; May 29, 2023.
MUMBAI 2025
MUMBAI 2025
MUMBAI 2025
1 Day Conference, Hands on Workshop and Exhibition
1 Day Conference, Hands on Workshop and Exhibition
CON, a 1 Day Conference, Hands on Workshop and Exhibition focused on practical learning experiences in Aesthetic Dermatology.
AESTHETICCON, a 1 Day Conference, Hands on Workshop and Exhibition focused on practical learning experiences in Aesthetic Dermatology.
Brought to you by “The Aestheticians Journal” serving you since 2010 with 12 years in print and digital publications and over a 100 educational workshops and conferences.
Brought to you by “The Aestheticians Journal” serving you since 2010 with 12 years in print and digital publications and over a 100 educational workshops and conferences.
AESTHETICCON Mumbai 2025 is just the event for you with practical insights shared Conference, tips while training in the Hands on workshop and interaction with product manufacturers.
AESTHETICCON Mumbai 2025 is just the event for you with practical insights shared Conference, tips while training in the Hands on workshop and interaction with product manufacturers.
Spend the day catching up and meeting with your fellow Dermatologists colleagues.
Spend the day catching up and meeting with your fellow Dermatologists colleagues.
