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Sun's Rays

 

Things you need to know

The more you know about the harm the sun can do to your skin and facts about the sun protection, the easier it is to make a smart decision concerning your health.

The sun is dangerous to your skin.  The sun's ultraviolet (UV) rays penetrate unprotected skin and are absorbed by skin cells, starting a sequence of reactions.  Within five minutes on a sunny day, your skin may absorb enough UV radiation to develop a slight sunburn.  Skin cells may also start the process leading to a suntan, the skin's natural defense mechanism.  In even less time, skin cells may suffer injury that you cannot see or feel. 

Your skin has a memory.  Over the years, the damage from daily overexposure may turn into long-term sun injury, including skin cancer and sun-induced skin aging.  Some damage is triggered by small, daily doses of sun, other damage by intense, infrequent doses.

For a medically sun sensitive person, the reaction may be more severe and immediate.  And the long-term results, even more threatening.

The dangers of UVA and UVB

There are two types of ultraviolet rays from the sun that hit the earth's surface- UVA and UVB.  Both can cause short- and long-term sun injury, including sun-induced skin aging and skin cancers.

During the summer, the sun's UVB rays are most intense from 10 a.m. to 4 p.m., while UVA rays are more stable from sunrise to sundown.  On a sunny summer day, there are more than enough UVB and UVA rays to damage your skin.  Sun sensitive people need all-day, broad-spectrum UVA and UVB protection.

The sun protection factor

SPF stands for Sun Protection Factor, a sunburn protection rating.  It is a ration of the time needed to produce a minimal sunburn while using a sun protective product versus no protection at all.  A 30 SPF product allows you to stay outdoors 30 times longer than you could without sun protection.

It is important to remember that SPF only measures the sunburn rate.  For sun sensitive people, sunburn is just one of the many reactions from overexposure to the sun.

Although UVA rays are inherently less powerful than UVB rays, 10-100 times as many UVA rays reach the earth's surface.  Small daily doses of UVA can cause long term injury to your skin, even without signs of sunburn.

Why sunscreen just isn't good enough

Sunscreens are important sun protection because they filter UV rays and, therefore, can help reduce sun-induced skin injury.  They are also far from perfect. Not only does a typical 30 SPF sunscreen still allow a lot of harmful UVA radiation through to the skin, published medical studies have shown that most people initially apply only 1/3 to 1/2 the recommended dose.  They compound the problem by failing to reapply sunscreen regularly and then staying in the sun longer.  Some research shows that UV can cause some sunscreens to lose their effectiveness beginning in as little as two hours.  Other research shows that sunscreen-slathered beachgoers and triathletes sunburned after a day in the sun.

Sunscreen alone is insufficient.  It is just one sun protection tool that is part of a sensible lifestyle that includes wearing sun protective clothing, minimizing sun exposure, and using sunscreen correctly.


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Erel Laufer, MD, FACS l Jay H. Ross, MD, FACS l Jennifer Buck, MD, FACS
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