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Sunscreen is a topically applied product that comes in the form of creams, gels, or sprays. It contains ingredients that protect the skin by filtering out the sun's harmful ultraviolet radiation (UVR). There are three forms of UVR and these are UVC, UVB, and UVA. The two main forms of UVR which result in skin damage are UVA and UVB. Sunscreens protect the skin against UVB radiation but not UVA, unless it is clearly labeled BROAD-SPECTRUM sunscreen. Broad-spectrum sunscreens protect the skin from UVB and UVA radiation equally.
Sunscreen is an essential part of skin protection and an important component of a smart skincare routine. There is a misperception that sunscreen should only be used when going outdoors on hot sunny days, but this is WRONG!
As a matter of fact, sunscreen should be applied on rainy days, cloudy days, or any day you intend to be outdoors. It should also be applied when indoors sitting near windows, or shiny and reflective surfaces. This is because ultraviolet radiation (UVR), bounces off these types of surfaces and is then scattered in different directions.
UVR is a type of energy emitted by the sun. Unlike the sun's light which we can see, and its heat that we can feel, UVR is not seen or felt. This is what makes it dangerous. When we are overexposed to UVR without the use of appropriate sun protection skin damage occurs and can be seen as a tan, sunburn, or on the long run it is seen as premature skin aging (photoaging). UVR also increases your risk of developing skin cancer and eye damage.
Although UVR can not be detected, its damage could be happening beneath the skin's surface without any signs appearing on the surface for a long time before enough damage is done and can be detected. Therefore, it is important to know the three types of UVR and understand their effect on the skin to enable us to protect ourselves from this invisible danger.
There are three types of ultraviolet radiation, these are UVC, UVB, and UVA. We only need to worry about UVA and UVB, as these are the ones that can cause skin damage.
UVA penetrates through the ozone layer and deep into the skin's second layer (Dermis) which contains our skin's supply of collagen and elastin. Elastin gives skin its elasticity or its ability to bounce back when stretched. Naturally, over time the skin loses its ability to bounce back and with the accumulation of UVR damage resulting in saggy skin. Collagen is what keeps our skin wrinkle-free in our youth. As we grow older the body's collagen reserve is gradually depleted resulting in the formation of wrinkles. Repeated and unprotected sun exposure causes the breakdown of collagen and speeds up the depletion of our skin's reserves. This results in deep wrinkles which are one of the many signs related to premature skin aging or photoaging.
Photoageing is characterised by the following signs:
deep wrinkles
sagging skin
uneven skin tone
a leathery and thick skin texture
dark coloured spots (hyperpigmentation)
thin red facial veins (telangiectasia)
UVB penetrates the skin's top layer (Epidermis). The Epidermis sits above the dermis which is the skin's second and deeper layer. For more information and some visuals about the anatomy of the skin click the SKIN ANATOMY link here 🔲.
UVB does not penetrate deeply into the skin as UVA, but can still cause irreversible damage to skin cells. Overexposure to UVB without the adequate use of sun protection results in tans and sunburns. To a milder extent, frequent exposure to UVB radiation without sun protection can darken freckles and make skin conditions like melasma worse.
Intermittent and frequent sunburns also result in damage to the DNA of skin cells increasing the risk of skin cancer development. For more information about skin cancer click here 🔲.
The ozone absorbs 90% of UVB. This highlights the importance of protecting the planet from environmental pollutants that damage the ozone layer which protects us in many ways.
UVC is completely absorbed by the ozone layer and is therefore of no concern to the human skin.
The following infographic posters summarise information about:
Types of UVR and Their effects on the skin
The differences between UVA and UVB
Factors that increase your risk of sunburn are:
Skin colour
Lighter skin colour has a higher risk of sunburn than darker skin. This is because the lighter your skin colour the less melanin you have to protect your skin cells from damage. Melanin is the pigment that gives skin its colour. It plays a vital role in protecting your skin cells from sun damage. The darker the skin colour the more melanin it contains and vice-versa.
Photosensitising medication
Some medications like certain brands of contraceptive pills and some antibiotics as well as other medications can make your skin more sensitive to UVR and increase your risk of sunburn. Therefore, it is crucial that you check with your doctor if any medication you are taking are phototsenitising.
Certain ingredients found in skin products
Ingredients like retinol, AHAs (i.e. glycolic and lactic acids) and BHA (salicylic acid). These are ingredients commonly found in antiaging products, exfoliants, and acne products.
UV index
The risk of sunburn increases as the UVR levels increase. It is recommended to use different forms of sun protection in addition to sunscreen to protect your skin from sunburns even when the UV levels are high. Refer to the UV Index and Sun Protection Chart below.
Time
UVR are at their highest strength between 11 to 3 pm when they gradually peak.
Tanning
Staying too long in the sun can result in a sunburn.
Sunscreen is only one form of protection against the dangers of the sun's UVR. When used with other forms of sun protection it provides more effective skin protection than using sunscreen alone. This is because sunscreen does not provide a100% protection against UVR. Therefore, it is best to combine different forms of sun protection with sunscreen to ensure adequate skin protection.
When it comes to becoming Sun Smart to care for the skin you live in😊 it is essential to understand the difference between different forms of sunscreen, how to choose between them, what the word SPF found on sunscreen containers indicates, also how and when to use different forms of sun protection.
To become a Sun Smart individual, keep reading to learn more about the following topics😉:
Other Forms of Sun Protection
UVR Index and Sun Protection Chart. Don't forget to download the SunSmart App🔗
Different Types of Sunscreen: Chemical, Physical & Broad-spectrum
Sunscreen: How does it work?
What is SPF?
Sunscreen Application Tips
Other Forms of Sun Protection
1. Hats
Choose a hat that provides adequate shade for your face, ears, and back of your neck. Three styles of hats that provide this degree of protection are:
Broad-brimmed
Bucket
Legionnaire
*Caps leave the back of the neck exposed therefore they are not recommended.
Although hats provide protection against direct UVR it does not protect against radiation reflected from water, sand, or concrete. Therefore, sunglasses can be added to protect your eyes and sunscreen to protect exposed parts of the body.
2. Protective Clothing
Slip on clothing that covers much of your skin like long sleeved tops, pants, or skirts then apply sunscreen to exposed skin. Also, look for clothing with a UV Protection Factor (UPS) of 40 or more which blocks more than 97% of UVR (CancerCouncil, 2019). UPS is a rating system similar to Sun Protection Factor (SPF) found on sunscreen bottles.
3. Sunglasses
Sunglasses must comply with the Australian Standards (AS/NZS 1067.1.2016) for eye protection and should have a UV 400 label on the swing tag. They should wrap around and fit snuggly to the face to block UVR from entering from the sides.
4. Shade
Seek shade under any structure that casts a shadow and provides a barrier to direct UVR. It is also, important to find shade away from reflective surfaces like sand, water, reflective flooring, or light coloured objects. When outdoors seek cover under structures that do not allow direct sunlight through and near non-reflective surfaces like grass, soil, or dark objects.
The CancerCouncil of Australia recommends the use of sunscreen with other forms of sun protection when UVR levels are 3 and above. Below is the UVR Index and Sun Protection Chart which shows how to use different forms of sun protection according to the UVR Index level. To help you determine the daily UVR levels at your location in Australia download the SunSmart App via this link 🔗
Sunscreen: how does it work?
UVB is the main type of radiation implicated in sunburns. UVA also plays a role in sunburns but to a much lesser extent. There are two main forms of sunscreen, chemical sunscreens absorb UVR, and physical sunscreens reflect or scatter UVR radiation off of the skin's surface. Both types of sunscreen protect the skin against UVR damage by filtering out UVB radiation but not UVA. Sunscreens that protect against both UVA and UVB equally are called broad -spectrum sunscreens.
Sunscreens:
Chemical & Physical = Filter out UVB
Broad-spectrum = Equally filters out UVB + UVA
Chemical Sunscreen
Physical Sunscreen
Adapted from www.shutterstock.com
A broad-spectrum sunscreen acts as both a chemical and a physical sunscreen by absorbing, scattering, and reflecting UV radiation. The main difference between broad-spectrum sunscreens and the other two types, is that Broad-spectrum sunscreens are equally effective in protecting the skin against both UVB and UVA radiation not only UVB radiation. which makes it the ultimate sunscreen if used correctly. Continue reading to find out about sunscreen application tips.
What is Sun Protection Factor (SPF)?
SPF indicates the level of protection against UVB that sunscreen provides for a certain period of time before getting sunburnt.
SPF is basically referring to the amount of time a sunscreen will protect your skin before you get sunburnt in comparison to the amount of time it takes to get sunburnt without sunscreen. For instance, if your skin takes 15 minutes to turn red when exposed to sunlight without sunscreen then applying sunscreen with an:
SPF of 50+ would protect you for up to 750 minutes (15 minutes x SPF 50).
SPF of 30+ will protect you for 450 minutes (15 minutes x SPF 30).
QUIZ Question:
Can you guess the time it will take your skin to burn if your skin becomes red after 15 minutes and you are wearing sunscreen with an SPF of 15+ ?
Answer = 225 minutes (15 minutes x SPF15).
The higher the SPF the more UVB radiation it filters and the better the protection. Under ideal conditions when sunscreen is applied properly a sunscreen with an SPF 50+ will filter out 98% of UVB, and an SPF 30+ will filter out 97%. Sunscreen with an SPF 15+ will filter out 93% of UVB which provides the least amount of sun protection. The CancerCouncil recommends using a minimum SPF 30+ sunscreen when the UVR Index is more than 3 in addition to using other forms of sun protection.
Extra Resources: Videos
Gabros, S., Nessel, T. A., & Zito, P. M. (2021, November 15). Sunscreens And Photoprotection. Nih.gov; StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK537164/
Sander, M., Sander, M., Burbidge, T., & Beecker, J. (2020). The efficacy and safety of sunscreen use for the prevention of skin cancer. Canadian Medical Association Journal, 192(50), E1802–E1808. https://doi.org/10.1503/cmaj.201085
Sunscreens: UV filters to protect us: Part 1: Changing regulations and choices for optimal sun protection. (2021). International Journal of Women’s Dermatology, 7(1), 28–44. https://doi.org/10.1016/j.ijwd.2020.05.017Sun protection - Skin Cancer Statistics and Issues. (2016). Cancer.org.au. https://wiki.cancer.org.au/skincancerstats/Sun_protection#Broad-spectrum