This
information is not meant to replace your physician and is simply
provided as a free educational service to our visitors. If you feel
that you have a skin problem, please consult with your physician.
Sunlight permanently damages skin. Ordinary sun exposure during tanning
and outdoor sports causes permanent skin changes. These changes build
up over the years so that even moderate repeated sun exposure causes
visible skin damage. Most of the wrinkling, roughening, and freckling
that appears on the face, hands, and arms of white adults comes from
sun damage, not age. You can see this if you compare less sun-exposed
areas, such as your abdomen or the undersides of your arms, with
sunexposed areas such as your face, neck or upper surfaces of your
arms. The natural coloration of your skin, pigment, protects you from
the damaging effects of sunlight. Persons with fair skin who have
little pigmentation are more prone to sun damage than dark-skinned
individuals.
The skin-damaging effects of sunlight gradually lead to roughening,
freckling, and wrinkling. Many people in their 30's and 40's are
unhappy because their wrinkled, roughened, sun-damaged skin makes them
appear 10 to 15 years older. Unfortunately, there's no way to undo
these changes. Young people should realize that they'll ultimately pay
a very steep price for the temporary glamour of a deep suntan.
A more serious effect of sun damage is skin cancer. Sun damage is the
chief cause of skin cancer. Here again, fair-skinned individuals are
much more susceptible. Skin cancer rarely occurs in blacks. As you
might expect, skin cancer tends to occur on sun-exposed areas such as
the face, neck, shoulders, and arms. Skin cancers can usually be
removed by minor surgery.
Ultraviolet rays - the invisible enemy
Sunlight contains both ordinary, harmless, visible light and shorter,
invisible light rays called ultraviolet light. Tanning, burning, and
skin damage from sunlight are caused by ultraviolet rays. Since
ultraviolet rays produce both tanning and skin damage, it's impossible
to tan "safely" and avoid permanent skin damage. Discussions on
sunbathing that describe "safe" tanning refer to avoidance of sunburn.
By proper timing, most persons can get a deep tan without sunburn.
However, no one can get a tan without some skin damage.
Blocking out all light with clothing is most effective. Certain sun
protectives depend on the same principle. They coat the skin with a
paint-like pigment that mechanically blocks light. They work well, but
they're messy and rather unsightly.
There are also many clear sunscreens that absorb ultraviolet light.
These "clean" sunscreens contain either PABA (para-aminobenzoic acid)
or a benzophenone compound. Some of the PABA-containing sunscreens are
taken up by the skin and will provide some protection in the water
provided they're applied one or two hours before swimming. An
occasional person is allergic to PABA or its derivatives, so please try
PABA-type sunscreens on a small area of skin before spreading it all
over your body. The other chemical class of sun protectives, the
benzophenones, rarely cause skin allergy. Benzophenones wash off,
however, and therefore do not protect swimmers. Some benzophenones have
a bitter taste that can be annoying when applied near the mouth.
There are many sun protectives on the market. The better ones are
labeled with a number called the sun-protective factor (SPF). The
higher the SPF number, the better the protection. The best sunscreens
have an SPF of 15, and are what you should use.
Water removes most sunscreens. Remember to put on another coat of
sunscreen after swimming or bathing. If you're sweating heavily, use
some more sunscreen every hour or two. If you're in very bright
sunlight, it's wise to protect your skin as much as possible with
clothing (long sleeves, gloves, wide-brimmed hats) and use one of the
"clean" chemical sunscreens on the parts of your skin exposed to the
sun.
Protect your lips from sun damage. The darker lipstick shades are
effective for women. Men, and women who don't wear lipstick, should use
an ultraviolet-absorbing lip pomade. Women can use makeup with a sun
protective. The sun protective should be applied first, then the
makeup. The makeup itself, especially if heavily colored, provides some
sun protection. .
93 million miles away, there is a luminous celestial body called the
sun. The sun, which is a source of energy, without which this earth
cannot function, is a blessing to most, but a curse to others. You
should aim to minimize sun exposure, not avoid it.
Each year with the arrival of the summer solstice, June 21st to be
exact, our mixed blessing is increased with the onset of the most
intense period of sunlight to which we are all exposed.
Humans have worshiped the sun since primitive times. Little wonder was
raised to the status of the gods, for its light and warmth would bring
comfort, dispelling fear as it chased away the cold dark night. .
But in modern times, sun worship has taken on a different form, that of
an uncontrolled exposure to sunlight in order to achieve a "tan".
As recently as the Victorian era, however, the opposite was a rule.
Alabaster white skin was prized and protected by long garments, broad
hats, and parasols. This was true even in the early cultures that
paralleled the religious worship of the sun. The aristrocats of Crete
preserved white skin by remaining indoors in contrast to the nut brown
skin of field workers.
But the colonial British in Africa and India did not have the good
sense to avoid the sunlight-prompting the fame tune by Noel Coward,
"mad dogs and Englishmen go out in the noon day sun".
It was only recently that medical science began to recognize the
harmful effects of sunlight. It was in 1870 that dermatologists first
began to speculate about the connection between sun and skin tumors. By
the turn of the century, the famed German Jewish dermatologist, Gersham
Unna, demonstrated the length between the generation of the elastic
tissue of the skin called solar elastosis, and the development of
abnormal thickenings of the skin that we call solar or actinic
keratoses, and skin cancers in sailors and farmers.
Sunscreens
The food and
drug administration presently classifies sunscreens as "drugs" intended
to protect the skin against actinic or solar damage.
Solar protective preparations that can be applied to the skin are
chemicals in the form of solutions, gels, creams, or ointments that we
hope will attenuate the bad effect of sunlight due to both UVA and UVB.
Protection is afforded by the sunscreen through active ingredients that
absorb, reflect, or scatter the solar radiation that strikes the skin.
Topical sunscreens can either be chemical sunscreens or physical
sunscreens. Chemical sunscreens contain one or more ultraviolet
absorbing agents that, when applied in a thin and usually invisible
film, act as a filter to diminish the penetration of the ultraviolet to
the living portion of the epidermis. The most widely used of the
sunscreens in this category contain paraaminobenzoic acid or poppa or a
derivative of poppa, centamades, benzyphanone, salicylate, and
antyelates.
Physical sunscreens on the other hand are usually opaque formulations
that contain materials that are particulate in nature. These do not
selectively absorb the ultraviolet, but rather, when applied in a thin
film, primarily reflect and scatter the ultraviolet because of the
particles they contain.
These agents are titanium dioxide, talc, zinc oxide, kaolin,
ichthamnol, or pharachloride. These are usually very messy and not very
cosmetically elegant. In contrast to the chemical sunscreens, they are
not easily washed off and have the important property of sticking to
the skin that is referred to as substantiveness.
Several years ago, professor Phrons Griter of Austria proposed a
concept that is now well known in this country. He proposed a means of
grading sun protective materials that is referred to as sun protection
factors.
The SPF is defined as the ratio of the least amount of ultraviolet B
energy required to produce a minimal redness reaction in skin through a
sunscreen product film to the amount of energy required to produce the
same redness on skin without any sunscreen application. As a standard
for comparison, a solution of 8% homomenthol salicylate is given the
SPF of 3.5 to 4.5.
As a biological system being measured in one individual for use in
another individual, it is apparent that the values are only at ball
park approximation. Indeed there are so many factors that influence the
actual performance of a sunscreen with the same SPF that it is
remarkable there is any uniformity at all.