| Tanning is the skin’s defense mechanism against damage and
the fairer your skin and eyes, the more at risk you are for sun damage.
It can result in the accelerated breakdown of elastin and collagen
(leading to fierce wrinkles and sagging skin) as well as blotchiness,
age spots, and, worse yet, skin cancer.
Producing increased pigment (or melanin) is the body’s way
of protecting itself. There are more than a million cases of skin
cancer reported annually in the U.S. — the highest rate in
the world. According to The American Academy of Dermatology, melanoma
kills one American every 68 minutes.
Sunburn is caused by UVB rays, but UVA rays penetrate the skin more
deeply and may pose an even greater threat for skin damage, premature
aging and skin cancer. Tanning beds pose an even greater risk of
damage: In 2004, the Department of Health and Human Services declared
that the ultraviolet rays from tanning beds — which are three
times more dangerous than natural sunlight because they penetrate
more deeply — were carcinogenic. I think of them as warm coffins.
When looking for sun protection, there are many factors to consider.
SPF (Sun Protection Factor) determines how long you can remain in
the sun without burning as opposed to unprotected skin. The higher
the SPF, the longer you can safely stay outdoors. Experts admit that
long-term, frequent exposure to UVA and UVB rays will result in some
skin damage — even when a sunscreen is properly used. But for
the time being, it’s the best defense available.
It is essential to choose a sunscreen with an SPF of at least 30.
Make certain that it is a broad spectrum sunscreen — one that
blocks both UVA and UVB rays. There are a myriad of active ingredients,
but most doctors think the most effective are avobenzone (Parsol
1789), titanium dioxide and zinc oxide. My favorites include SkinCeuticals
Ultimate UV Defense SPF 30 and SkinCeuticals Sport UV Defense SPF
45 (both available in Charlotte at The Dermatology & Cosmetic
Surgery Center on Randolph Rd. as well as Graper Cosmetic Surgery,
also on Randolph). My other favorite is Neutrogena UVA/UVB Sunblock
Lotion SPF 45 (available at drugstores nationwide).
The other factors that dermatologists stress are that you must generously
apply sunscreen about 30 minutes prior to sun exposure. Most people
use one-eighth to one-fourth the recommended amount; therefore, their
SPF 30 is equivalent to about an SPF 2.5. A minimum of one ounce
(the size of a golf ball) should be applied every one and a half
to two and a half hours during periods of sun exposure. The more
active you are in the sun — swimming, volleyball or perspiring — the
more frequently you should apply. It takes about a fou-r to six-ounce
bottle of sunscreen to protect the skin during six hours of sun exposure.
For greater protection against the ravages of UVA and UVB exposure,
there are additional precautions that can be taken. When you plan
on being outdoors for long periods, wear a three-inch brimmed-hat
in a tightly woven fabric to shield the skin. Wear sunglasses that
are UV resistant, and to prevent crow’s feet, make sure the
sides of the glasses are wide to prevent the rays from attacking
this vulnerable area.
It is now popular consensus among dermatologists that using an antioxidant
serum that contains vitamins C and E, Co-Q 10, alpha-lipoic acid,
green or white tea, pomegranate or idebenone beneath your sunscreen
can fight off the free radicals that UV exposure generates. My favorites
are SkinCeuticals C+E Serum (available at the aforementioned doctors’ offices)
and Cellex-C (available at Sephora).
I use antioxidant serums and sunscreens year-round. We are exposed
to the sun’s rays 365 days a year. We are exposed to UV rays
when driving, walking to the office and from the windows in our workplaces.
Unless you live in a cave, you are exposed to the sun. And don’t
think that you’re protected on a cloudy day: 80 percent of
the sun’s rays can penetrate clouds.
The next time you pack for Key West or P-Town take more than a skimpy
suit. Don’t just think about the skin you have now but the
skin you will have in 10 years. The glow of a tan is transient, but
the cancer, wrinkling, age spots and sagging can last a lifetime.
Personally, I love my skin to have some color, but if it isn’t
sprayed on or direct from a self-tanning product, the risks aren’t
worth the glow. I remember how attractive my aunt was before she
destroyed her skin as a young woman basking in the summer sun and
I remember how she suffered during her treatments for skin cancer.
Note: This is the first of a series of articles on skin care.
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