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Skin Cancer Skin Cancer Prevention

Choosing the Right Sunscreen


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Summary & Participants

There are many situations in which you need sunscreen - and many types of sunscreen to choose from. How do you know you're picking the right kind? Our panel of experts will address the factors you should consider when deciding what to use.

Medically Reviewed On: June 23, 2008

Webcast Transcript


SUSAN CINGARI: What about if you've got an unusual skin type? Maybe you've got acne, or maybe you've got a skin condition. Do different skin types require the same SPFs?

BETTY BELLMAN, MD: Many times you can have a sunscreen that has makeup in it, that has physical blocks of zinc oxide or titanium dioxide in it, but a 15 is the minimum that really people should use. If they have at least three active ingredients on the back of the label, that's the minimum number of active ingredients that you want to look for to protect you from the sun. If you go with a 30, that might have three or four active ingredients, including a physical block like titanium or dioxide, or zinc oxide, which is in small particles called micronized; because that's really important because it blocks the rays of the sun off your skin. It actually deflects them off your skin.

SUSAN CINGARI: I was going to ask what those three active ingredients might be.

BARRY RESNICK, MD: Well, they can be things like octyl-methoxycinnamate, they can be benzophenone, they can be Parsolâ 1789. And I think it's important, let's take it one step back and tell you what a physical and a chemical sunscreen is.

Physical sunscreens, like Betty said, are actually reflective things, like titanium dioxide and zinc oxide. The original sunscreen, that white paste that lifeguards used to use, was zinc oxide. And it is the best, it's a block. Nothing gets through that, but certainly it's cosmetically unattractive.

So then they started to color them. They made things in purples and bright greens. And kids liked to use them, but it's again, not something you're going to be smearing on your body every day. That's a physical sunblock.

A chemical sunblock, or a chemical sunscreen, is something that's going to absorb the wavelength of light and keep it from your skin. So you've got on the one hand reflective and you've got on the other hand absorptive.

And she's right, we need to keep a minimum of three things so that you get protection from both ultraviolet B, which is the most damaging of the sun rays, and the thing that provides the most redness in your skin from sunburn; as well as UVA, which is a more insidious form. It takes a long time to get sunburn from UVA, but it gives you a lot more sun damage.

SUSAN CINGARI: Dr. Bellman, what about sunscreens for babies? What kind should be applying on little, little, teeny babies?

BETTY BELLMAN, MD: Recently, the American Academy of Dermatology said it was okay to apply chemical-free sunscreen to infants under the age of six months, meaning no chemical, just the active ingredient should be titanium dioxide or micronized zinc oxide particles. Of course, ten to four, you don't want to go out in the sun with a small infant under the age of six months, and to apply it to the areas that are going to be sun exposed is okay, as long as it's chemical free.

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