While talking to patients about sunscreen and other sun protective options is always important, spring and summer are crucial times for reminders. With an array of products available, patients are often confused about their options when it comes to skin protection.
Patient Counseling
A study conducted by researchers at Wake Forest School of Medicine and published in JAMA Dermatology1 found that the rate at which physicians mention sunscreen at patient visits is low, even for patients with a history of skin cancer. Using data from the National Ambulatory Medical Care Survey, the researchers identified patient visits to non-federal outpatient physician offices at US ambulatory care practices from January 1989 to December 2010 to determine how often sunscreen was recommended. During the study period, there were 18.3 billion patient visits nationwide. The results showed that physicians mentioned sunscreen at approximately 12.8 million visits (0.07%). Physicians reported mentioning sunscreen at 0.9% of patient visits associated with the diagnosis of a skin disease. Dermatologists recorded the mention of sunscreen the most (86.4% of all visits associated with sunscreen). Yet, dermatologists reported mentioning sunscreen at only 1.6% of all dermatology visits. The findings also indicated that sunscreen was mentioned most frequently to white patients, particularly to elderly patients and least frequently to children.
“The main take-home message is that sun protection is discussed far to rarely at physician office visits,” explains Scott A. Davis, MA, a co-author of the study and assistant director, Center for Dermatology Research, research administrative coordinator, department of dermatology at Wake Forest University Health Sciences in Winston-Salem, NC. He explains that the lack of sun protection counseling may be a missed opportunity for clinicians to fight the ongoing, growing epidemic of skin cancer.
Sunscreen Confusion
The American Academy of Dermatology recommends reapplication of water-resistant, broad-spectrum sunscreen of an SPF of 30 or greater every 2 hours. Some patient populations, such as people with ethnic skin, might believe they are resistant to sun damage.
“Many people of color mistakenly believe that they are not at risk, but skin cancer is color blind,” says Henry W. Lim, MD, FAAD, C.S. Livingood Chair and chairman of the department of dermatology at Henry Ford Hospital in Detroit, MI. “Skin cancer can look and develop differently in individuals with skin of color than it does in individuals with lighter skin.”
When skin cancer is diagnosed in people of color, it is often found in areas of the skin that are not typically exposed to the sun, such as the buttocks, hip, legs and feet (See related article in the May issue of The Dermatologist, Skin Considerations for People of Color, p. 31).
“The greatest problem may be that clinicians are simply not thinking about bringing up the topic of sun protection,” says Dr. Davis, who notes patients and parents may be very confused about all the conflicting information available in the media and on the Internet. The clinician must seek out the patient’s beliefs about sun protection to be able to correct any misconceptions, he adds.
In many case, families are not using enough sunscreen, according to Vincent DeLeo, MD, of St. Lukes/Roosevelt and Beth Israel Medical Centers in New York, NY.2 He offers some general guidelines about sunscreen application. Two tablespoons should cover an adult skin surface with one 8-oz bottle equaling 16 tablespoons. “So a family of 4 at the beach should use one bottle in 2 days,” he explains.
However, most people use 25% to 75% of the testing quantity, with most families of 4 using just 1.5 bottles a year. In general, 2 to 3 tablespoons are used for exposed body sites.
The cost of sunscreen can be a significant investment for people. One study by Mahe et al3 conducted a cost analysis and found that a 1-week beach vacation for a family of 4 should cost between $178 to $238 for the week. It would cost 33% less with sun protective clothing (See related article on page 28) and 41% less if large volume bottles are used. Cost for a transplant patient using sunscreen year-round, ranges from $249 to $292 per year.
A wide array of products is now available for sun protection and skincare. See related article in Sun Protective Wear. Although dermatologist might not want to recommend specific brands, they can explain to patients which type of sunscreen is best for which part of the body or which activity (See Sidebar). The following is a roundup of some of the new offerings in summer skin therapies this year.
Sidebar: Which Sunscreen Where?
“The best type of sunscreen is the one you will use again and again,” says dermatologist Henry W. Lim, MD, FAAD, C.S. Livingood Chair and chairman of the department of dermatology at Henry Ford Hospital in Detroit, MI. He points out that sunscreen selection is often a matter of personal choice, and may vary depending on the area of the body to be protected. Available sunscreen options include lotions, creams, gels, ointments, wax sticks and sprays. In general:
• Creams are best for dry skin and the face.
• Gels are good for hairy areas, such as the scalp or male chest.
• Sticks are good to use around the eyes.
• Parents often prefer sprays because they are easy to apply to children. Men might find it convenient to apply spray to a balding scalp. Although when using spray sunscreens, it is difficult to know if you have used enough spray sunscreen to cover all sun-exposed areas of the body, which may result in inadequate coverage.
Source: American Academy of Dermatology4
References
1. Akamine KL, Gustafson CJ, Davis SA, Levender MM, Feldman SR. Trends in sunscreen recommendation among US physicians. JAMA Dermatol. 2014;150(1):51-55.
2. DeLeo V. Sunscreens And Vitamin D. The American Academy of Dermatology’s 2013 Summer Academy Meeting; July 31-August 4, 2013; New York, NY.
3. Mahé E, Beauchet A, de Maleissye MF, Saiag P. Are sunscreens luxury products?
J Am Acad Dermatol. 2011;65(3):e73-e79.
4. Sunscreen 101: Dermatologists answer burning questions about sunscreen. American Academy of Dermatology website. https://aad.org/stories-and-news/news-releases/sunscreen-101-dermatologists-answer-burning-questions-about-sunscreens. Accessed May 19, 2014.
Fast-absorbing Sunscreen
Two new lightweight sunscreen formulas developed specifically for women — Coppertone ClearlySheer For Sunny Days and Coppertone ClearlySheer For Beach & Pool — are designed for everyday occasions year-round, and for time spent in and around the water. Both lines deliver broad-spectrum sun protection in lotions and sprays that absorb quickly. Coppertone ClearlySheer For Sunny Days offers sun protection and moisturizing benefits, and are suitable for everyday occasions, including walks to work, bike rides, soccer games and walks outside. Coppertone ClearlySheer For Beach & Pool offer a new sheer sunscreen that provides water-resistant protection. The formulas, which have easy application and are absorbed in seconds, feel light on skin and are ideal for walks on the beach and trips to the lake or pool. For more information, please visit www.coppertone.com.
Dual Function Treatment
Professional-C Suncare SPF 30 from Obagi Medical Products Inc. is the newest dual-function treatment and sun protection product that protects against skin damaging UVA and UVB rays and is formulated with 10% L-ascorbic acid (vitamin C) to address the signs of skin aging. Formulated in an anhydrous solution to help maintain stability of the 10% L-ascorbic acid, Professional-C Suncare SPF 30 is developed with vitamin C to complement collagen synthesis and brighten skin tone. Benefits of this suncare product include: broad-spectrum protection, non-comedogenic, hypoallergenic and suitable for all skin types.
Professional-C Suncare SPF 30 is available in dermatology, plastic surgery and other aesthetic physicians’ practices. Suggested retail price is $70. For more information, please visit www.obagi.com.
Ceramide Action
CeraVe Sunscreen SPF 50 for Face and CeraVe Sunscreen SPF 50 for Body are sunscreen lotions that use Invisible Zinc technology, which consists of a naturally sourced, microfine zinc oxide. This technology is designed to help deliver a dry, clear finish on the skin with powerful SPF 50 broad-spectrum protection from the sun’s damaging UVA and UVB rays. The lightweight, oil-free lotions spread easily and dry on the skin with a clear finish. CeraVe Sunscreen SPF 50 for Face and Body contain the brand’s hallmark skincare ingredients including ceramides, which help repair and restore the protective skin barrier. CeraVe Sunscreen SPF 50 for Face also contains niacinamide, which supports the skin’s production of natural ceramides and fatty acids essential for skin barrier repair, and may also help reduce skin redness. Both lotions are water-resistant up to 80 minutes and suitable for all skin types. A solid sunscreen is also available, The CeraVe SPF 50 Sunscreen Stick is a facial sunscreen stick, also made with Invisible Zinc technology, that rubs on easily with a targeted retractable applicator. CeraVe SPF 50 Sunscreen Stick also contains ceramides for skin barrier repair and is water resistant up to 40 minutes and suitable for all skin types. CeraVe Sunscreen SPF 50 for Face retails for $14.99, while CeraVe SPF 50 Sunscreen for Body retails for $16.99. The CeraVe SPF 50 Sunscreen Stick retails for $9.99. The CeraVe Skincare Line is available online, at drugstores and mass retailers nationwide. For more information, please visit www.cerave.com.
Professional Sunscreen Formulas
Glytone USA has introduced 2 new fragrance-free and para-aminobenzoic acid-free formulas to protect against sunburn and the premature skin aging that can result from cumulative sun exposure.
Glytone Sunscreen Lotion is an oil-free, mineral-based lotion with micronized zinc oxide providing SPF 40 broad-spectrum protection for the face and body.
The sunscreen also contains hyaluronic acid that helps boost the skin’s natural moisture level. Glytone Sunscreen Lotion should be applied 15 minutes before sun exposure. Reapply after 40 minutes of swimming or sweating, immediately after towel drying and at least every 2 hours.
Glytone Spray Mist Sunscreen combines an antioxidant complex to counteract sun damage with optimal SPF 50+ broad-spectrum UVA/UVB technology. The oil-free, non-whitening and non-comedogenic sunscreen comes in a continuous spray. Glytone Spray Mist Sunscreen should be sprayed 15 minutes before sun exposure. Reapply after 80 minutes of swimming or sweating, immediately after towel drying and at least every 2 hours. Glytone Sunscreen Lotion is $37 for a 4-oz bottle, and Glytone Spray Mist Sunscreen is $39 for a 6-oz bottle.
The products are available through select physician’s offices and through www.dermstore.com and www.skincarerx.com.
For more information, please visit www.glytone-usa.com.
Physical Eye UV Defense
SkinCeuticals Physical Eye UV Defense provides broad-spectrum SPF 50 protection without migration or irritation of the eyes. Formulated specifically for the structure of the inner and more sensitive skin around the eyes, Physical Eye UV Defense is a daily, high protection, non-irritating, 100% mineral-based product that is designed to defend and enhance the eye area. Key ingredients include microfine zinc oxide that provides broad-spectrum protection against burning UVB as well as aging UVA rays. The particle size and distribution characteristics spread evenly and provide a non-whitening effect. The product’s microfine titanium dioxide is a non-chemical SPF contributor, protecting against UVB and low-range UVA rays. The ceramides nourish the delicate skin around the eyes.
Physical Eye UV Defense should be applied daily to the entire eye area; under the eye, on the crow’s feet area and on eyelids. It is suitable for all skin types and tones and for use under makeup. Available in a 10 mL/0.3-oz bottle, the suggested retail price is $30. For more information, please visit www.skinceuticals.com.
Sunscreen Line Expansion
L’Oréal Paris Advanced Suncare offers new sun protection products infused with powerful antioxidants vitamin E and white grape seed to help keep skin healthy. Advance Silky Sheer BB Face Lotion 50+ is the company’s first BB facial broad-spectrum sunscreen. It protects skin with a patented UVA/UVB filter and evens skin for a healthy tinted complexion. The multi-acting formula absorbs quickly and layers invisibly under makeup.
Advanced Suncare Invisible Protect Sheer Spray SPF 30 offers an exclusive patented UV filter system that delivers long-lasting, broad-spectrum protection with a sheer formula. The spray formula absorbs quickly for a streak-free, invisible finish. Both products should be applied 15 minutes before sun exposure. Reapply after 80 minutes of swimming or sweating, immediately after towel drying and at least every 2 hours. For more information, please visit www.lorealparisusa.com.
After Sun Repair Lotion
Eau Thermale Avène After-Sun Repair Lotion is formulated to soothe and hydrate the skin after sun exposure. The lotion is paraben-free, hypoallergenic, non-comedogenic and is designed with ingredients to encourage reconstruction of the skin barrier. Light and non-oily, it is rapidly absorbed for pleasant application after any sun exposure. Eau Thermale Avène After-Sun Repair Lotion is available in a 200-mL bottle. For more information, please visit www.aveneusa.com.
Sun Protection in a 3-in-1 Shampoo, Face and Body Wash
CoLabs Intl Corp recently introduced the Kl¯enskin product line — the first and only shower on SPF that is applied to the scalp, face and body, without extra steps and the greasy residue of lotions and creams. All Kl¯enskin products are a 3-in-1 shampoo, face and body wash offering broad-spectrum protection against UVA/UVB radiation. The product line is water resistant for 80 minutes. Designed to not interfere with other daily skincare products, its formulation provides practical, everyday sunscreen protection that is hypoallergenic and paraben-free.
Kl¯enskin infused with SPF 30 protection is a fragrance-free, cream cleanser designed for sensitive skin. The user-friendly SPF technology encapsulates all the active ingredients providing a daily base layer of sun protection in 1 easy step. Additionally Kl¯enskin is enhanced with antioxidants and conditioners. Kl¯enskin Kids is a gentle, strawberry-scented cleanser with a user-friendly design that makes application easy in the shower. It also encapsulates all the active sunscreen ingredients layering the sunscreen on top of the skin, leaving a daily broad-spectrum SPF 30 protection. The products retail for $28 each and available through the company’s website. For more information, please visit www.colabsintl.com.
Protection in Any Environment
Rocky Mountain Sunscreen offers protection for every skin type in any environment, even high altitudes. All the sunscreen products (SPF 30, 50, 60 and 70) are broad-spectrum UVA/UVB, water resistant (80 minutes), greaseless, gluten-free, para-aminobenzoic acid-free, fragrance-free and hypoallergenic. Fortified with aloe, the sunscreen is formulated as a daily moisturizer — safe for daily use on the face and under makeup. Rocky Mountain Sunscreen features a bonding-based formula, which allows skin to breathe and perspire. As a result, the body is able to keep naturally cool by sweating, which is vital in all outdoor activities. Bonding base sunscreens work in the water, offering superior protection while swimming or sweating profusely.
Rocky Mountain Sunscreen is available in travel size, refillable bottles, quarts and gallons. For more information, please visit www.rmsunscreen.com.
Sunscreen Lip Balm Sticks
Lip balm sticks, from Carmex, featuring SPF 15, have received the “Daily Use” Seal of Recommendation from The Skin Cancer Foundation. The Skin Cancer Foundation recommends this line as “an effective broad-spectrum sunscreen,” because it meets the criteria and standards established by the Foundation’s Photobiology Committee. The Skin Cancer Foundation recommends these Carmex lip balm sticks as an effective aid in the prevention of sun-induced damage to the skin, including sunburn and possible premature aging. When used regularly, in the prescribed manner, these products may also help reduce the risk of skin cancer due to overexposure to sunlight. The lip balm sticks with SPF 15 are waterproof up to 80 minutes and are available in multiple flavors including lime pomegranate, lime and vanilla. For more information, see please visit www.mycarmex.com
Sun Screen on the Go
Sun Bum Premium Sunscreen Lotions in SPF 15+, SPF 30+, SPF 50+ and healing Cool Down Hydrating After Sun Lotion are available in a convenient travel size. Just like the full-sized versions, these miniature sunscreens deliver an ultra-lightweight formula and beachy fragrance, while the Cool Down Lotion is designed to help moisturize, heal and restore skin after a day in the sun. Available in Transportation Security Administration approved 3-oz. sizes, products range in price from $7.99 to $11.99 at select stores and via www.trustthebum.com.
Microshield Technology
La Roche has expanded its Anthelios suncare line with Anthelios 30 Cooling Water Lotion sunscreen and the Anthelios 60 Ultra Light Lotion Spray with Cell-Ox Shield XL 5.0 oz. It is a cooling gel-like lotion designed to refresh the skin while offering broad-spectrum UVA/UVB protection with antioxidants and long-lasting protection. The antioxidant complex includes Senna alata, a tropical leaf extract known to defend skin cells from environmental aggressors to help prevent premature aging. It is the first formula with UVA/UVB protection texture that “transforms like water on the skin,” while providing an immediate cooling effect. The Anthelios 60 Ultra Light Lotion Spray with Cell-Ox Shield XL 5.0 oz is newly reformulated and uses a new microshield technology that ensures the formula remains durable so skin is uniformly protected even during intense UV conditions or in water. The micro-shield technology is designed to provide advanced protection even after running or sweating. Both products retail for $35.99 each. For more information, please visit www.laroche-posay.us.
While talking to patients about sunscreen and other sun protective options is always important, spring and summer are crucial times for reminders. With an array of products available, patients are often confused about their options when it comes to skin protection.
Patient Counseling
A study conducted by researchers at Wake Forest School of Medicine and published in JAMA Dermatology1 found that the rate at which physicians mention sunscreen at patient visits is low, even for patients with a history of skin cancer. Using data from the National Ambulatory Medical Care Survey, the researchers identified patient visits to non-federal outpatient physician offices at US ambulatory care practices from January 1989 to December 2010 to determine how often sunscreen was recommended. During the study period, there were 18.3 billion patient visits nationwide. The results showed that physicians mentioned sunscreen at approximately 12.8 million visits (0.07%). Physicians reported mentioning sunscreen at 0.9% of patient visits associated with the diagnosis of a skin disease. Dermatologists recorded the mention of sunscreen the most (86.4% of all visits associated with sunscreen). Yet, dermatologists reported mentioning sunscreen at only 1.6% of all dermatology visits. The findings also indicated that sunscreen was mentioned most frequently to white patients, particularly to elderly patients and least frequently to children.
“The main take-home message is that sun protection is discussed far to rarely at physician office visits,” explains Scott A. Davis, MA, a co-author of the study and assistant director, Center for Dermatology Research, research administrative coordinator, department of dermatology at Wake Forest University Health Sciences in Winston-Salem, NC. He explains that the lack of sun protection counseling may be a missed opportunity for clinicians to fight the ongoing, growing epidemic of skin cancer.
Sunscreen Confusion
The American Academy of Dermatology recommends reapplication of water-resistant, broad-spectrum sunscreen of an SPF of 30 or greater every 2 hours. Some patient populations, such as people with ethnic skin, might believe they are resistant to sun damage.
“Many people of color mistakenly believe that they are not at risk, but skin cancer is color blind,” says Henry W. Lim, MD, FAAD, C.S. Livingood Chair and chairman of the department of dermatology at Henry Ford Hospital in Detroit, MI. “Skin cancer can look and develop differently in individuals with skin of color than it does in individuals with lighter skin.”
When skin cancer is diagnosed in people of color, it is often found in areas of the skin that are not typically exposed to the sun, such as the buttocks, hip, legs and feet (See related article in the May issue of The Dermatologist, Skin Considerations for People of Color, p. 31).
“The greatest problem may be that clinicians are simply not thinking about bringing up the topic of sun protection,” says Dr. Davis, who notes patients and parents may be very confused about all the conflicting information available in the media and on the Internet. The clinician must seek out the patient’s beliefs about sun protection to be able to correct any misconceptions, he adds.
In many case, families are not using enough sunscreen, according to Vincent DeLeo, MD, of St. Lukes/Roosevelt and Beth Israel Medical Centers in New York, NY.2 He offers some general guidelines about sunscreen application. Two tablespoons should cover an adult skin surface with one 8-oz bottle equaling 16 tablespoons. “So a family of 4 at the beach should use one bottle in 2 days,” he explains.
However, most people use 25% to 75% of the testing quantity, with most families of 4 using just 1.5 bottles a year. In general, 2 to 3 tablespoons are used for exposed body sites.
The cost of sunscreen can be a significant investment for people. One study by Mahe et al3 conducted a cost analysis and found that a 1-week beach vacation for a family of 4 should cost between $178 to $238 for the week. It would cost 33% less with sun protective clothing (See related article on page 28) and 41% less if large volume bottles are used. Cost for a transplant patient using sunscreen year-round, ranges from $249 to $292 per year.
A wide array of products is now available for sun protection and skincare. See related article in Sun Protective Wear. Although dermatologist might not want to recommend specific brands, they can explain to patients which type of sunscreen is best for which part of the body or which activity (See Sidebar). The following is a roundup of some of the new offerings in summer skin therapies this year.
Sidebar: Which Sunscreen Where?
“The best type of sunscreen is the one you will use again and again,” says dermatologist Henry W. Lim, MD, FAAD, C.S. Livingood Chair and chairman of the department of dermatology at Henry Ford Hospital in Detroit, MI. He points out that sunscreen selection is often a matter of personal choice, and may vary depending on the area of the body to be protected. Available sunscreen options include lotions, creams, gels, ointments, wax sticks and sprays. In general:
• Creams are best for dry skin and the face.
• Gels are good for hairy areas, such as the scalp or male chest.
• Sticks are good to use around the eyes.
• Parents often prefer sprays because they are easy to apply to children. Men might find it convenient to apply spray to a balding scalp. Although when using spray sunscreens, it is difficult to know if you have used enough spray sunscreen to cover all sun-exposed areas of the body, which may result in inadequate coverage.
Source: American Academy of Dermatology4
References
1. Akamine KL, Gustafson CJ, Davis SA, Levender MM, Feldman SR. Trends in sunscreen recommendation among US physicians. JAMA Dermatol. 2014;150(1):51-55.
2. DeLeo V. Sunscreens And Vitamin D. The American Academy of Dermatology’s 2013 Summer Academy Meeting; July 31-August 4, 2013; New York, NY.
3. Mahé E, Beauchet A, de Maleissye MF, Saiag P. Are sunscreens luxury products?
J Am Acad Dermatol. 2011;65(3):e73-e79.
4. Sunscreen 101: Dermatologists answer burning questions about sunscreen. American Academy of Dermatology website. https://aad.org/stories-and-news/news-releases/sunscreen-101-dermatologists-answer-burning-questions-about-sunscreens. Accessed May 19, 2014.
Fast-absorbing Sunscreen
Two new lightweight sunscreen formulas developed specifically for women — Coppertone ClearlySheer For Sunny Days and Coppertone ClearlySheer For Beach & Pool — are designed for everyday occasions year-round, and for time spent in and around the water. Both lines deliver broad-spectrum sun protection in lotions and sprays that absorb quickly. Coppertone ClearlySheer For Sunny Days offers sun protection and moisturizing benefits, and are suitable for everyday occasions, including walks to work, bike rides, soccer games and walks outside. Coppertone ClearlySheer For Beach & Pool offer a new sheer sunscreen that provides water-resistant protection. The formulas, which have easy application and are absorbed in seconds, feel light on skin and are ideal for walks on the beach and trips to the lake or pool. For more information, please visit www.coppertone.com.
Dual Function Treatment
Professional-C Suncare SPF 30 from Obagi Medical Products Inc. is the newest dual-function treatment and sun protection product that protects against skin damaging UVA and UVB rays and is formulated with 10% L-ascorbic acid (vitamin C) to address the signs of skin aging. Formulated in an anhydrous solution to help maintain stability of the 10% L-ascorbic acid, Professional-C Suncare SPF 30 is developed with vitamin C to complement collagen synthesis and brighten skin tone. Benefits of this suncare product include: broad-spectrum protection, non-comedogenic, hypoallergenic and suitable for all skin types.
Professional-C Suncare SPF 30 is available in dermatology, plastic surgery and other aesthetic physicians’ practices. Suggested retail price is $70. For more information, please visit www.obagi.com.
Ceramide Action
CeraVe Sunscreen SPF 50 for Face and CeraVe Sunscreen SPF 50 for Body are sunscreen lotions that use Invisible Zinc technology, which consists of a naturally sourced, microfine zinc oxide. This technology is designed to help deliver a dry, clear finish on the skin with powerful SPF 50 broad-spectrum protection from the sun’s damaging UVA and UVB rays. The lightweight, oil-free lotions spread easily and dry on the skin with a clear finish. CeraVe Sunscreen SPF 50 for Face and Body contain the brand’s hallmark skincare ingredients including ceramides, which help repair and restore the protective skin barrier. CeraVe Sunscreen SPF 50 for Face also contains niacinamide, which supports the skin’s production of natural ceramides and fatty acids essential for skin barrier repair, and may also help reduce skin redness. Both lotions are water-resistant up to 80 minutes and suitable for all skin types. A solid sunscreen is also available, The CeraVe SPF 50 Sunscreen Stick is a facial sunscreen stick, also made with Invisible Zinc technology, that rubs on easily with a targeted retractable applicator. CeraVe SPF 50 Sunscreen Stick also contains ceramides for skin barrier repair and is water resistant up to 40 minutes and suitable for all skin types. CeraVe Sunscreen SPF 50 for Face retails for $14.99, while CeraVe SPF 50 Sunscreen for Body retails for $16.99. The CeraVe SPF 50 Sunscreen Stick retails for $9.99. The CeraVe Skincare Line is available online, at drugstores and mass retailers nationwide. For more information, please visit www.cerave.com.
Professional Sunscreen Formulas
Glytone USA has introduced 2 new fragrance-free and para-aminobenzoic acid-free formulas to protect against sunburn and the premature skin aging that can result from cumulative sun exposure.
Glytone Sunscreen Lotion is an oil-free, mineral-based lotion with micronized zinc oxide providing SPF 40 broad-spectrum protection for the face and body.
The sunscreen also contains hyaluronic acid that helps boost the skin’s natural moisture level. Glytone Sunscreen Lotion should be applied 15 minutes before sun exposure. Reapply after 40 minutes of swimming or sweating, immediately after towel drying and at least every 2 hours.
Glytone Spray Mist Sunscreen combines an antioxidant complex to counteract sun damage with optimal SPF 50+ broad-spectrum UVA/UVB technology. The oil-free, non-whitening and non-comedogenic sunscreen comes in a continuous spray. Glytone Spray Mist Sunscreen should be sprayed 15 minutes before sun exposure. Reapply after 80 minutes of swimming or sweating, immediately after towel drying and at least every 2 hours. Glytone Sunscreen Lotion is $37 for a 4-oz bottle, and Glytone Spray Mist Sunscreen is $39 for a 6-oz bottle.
The products are available through select physician’s offices and through www.dermstore.com and www.skincarerx.com.
For more information, please visit www.glytone-usa.com.
Physical Eye UV Defense
SkinCeuticals Physical Eye UV Defense provides broad-spectrum SPF 50 protection without migration or irritation of the eyes. Formulated specifically for the structure of the inner and more sensitive skin around the eyes, Physical Eye UV Defense is a daily, high protection, non-irritating, 100% mineral-based product that is designed to defend and enhance the eye area. Key ingredients include microfine zinc oxide that provides broad-spectrum protection against burning UVB as well as aging UVA rays. The particle size and distribution characteristics spread evenly and provide a non-whitening effect. The product’s microfine titanium dioxide is a non-chemical SPF contributor, protecting against UVB and low-range UVA rays. The ceramides nourish the delicate skin around the eyes.
Physical Eye UV Defense should be applied daily to the entire eye area; under the eye, on the crow’s feet area and on eyelids. It is suitable for all skin types and tones and for use under makeup. Available in a 10 mL/0.3-oz bottle, the suggested retail price is $30. For more information, please visit www.skinceuticals.com.
Sunscreen Line Expansion
L’Oréal Paris Advanced Suncare offers new sun protection products infused with powerful antioxidants vitamin E and white grape seed to help keep skin healthy. Advance Silky Sheer BB Face Lotion 50+ is the company’s first BB facial broad-spectrum sunscreen. It protects skin with a patented UVA/UVB filter and evens skin for a healthy tinted complexion. The multi-acting formula absorbs quickly and layers invisibly under makeup.
Advanced Suncare Invisible Protect Sheer Spray SPF 30 offers an exclusive patented UV filter system that delivers long-lasting, broad-spectrum protection with a sheer formula. The spray formula absorbs quickly for a streak-free, invisible finish. Both products should be applied 15 minutes before sun exposure. Reapply after 80 minutes of swimming or sweating, immediately after towel drying and at least every 2 hours. For more information, please visit www.lorealparisusa.com.
After Sun Repair Lotion
Eau Thermale Avène After-Sun Repair Lotion is formulated to soothe and hydrate the skin after sun exposure. The lotion is paraben-free, hypoallergenic, non-comedogenic and is designed with ingredients to encourage reconstruction of the skin barrier. Light and non-oily, it is rapidly absorbed for pleasant application after any sun exposure. Eau Thermale Avène After-Sun Repair Lotion is available in a 200-mL bottle. For more information, please visit www.aveneusa.com.
Sun Protection in a 3-in-1 Shampoo, Face and Body Wash
CoLabs Intl Corp recently introduced the Kl¯enskin product line — the first and only shower on SPF that is applied to the scalp, face and body, without extra steps and the greasy residue of lotions and creams. All Kl¯enskin products are a 3-in-1 shampoo, face and body wash offering broad-spectrum protection against UVA/UVB radiation. The product line is water resistant for 80 minutes. Designed to not interfere with other daily skincare products, its formulation provides practical, everyday sunscreen protection that is hypoallergenic and paraben-free.
Kl¯enskin infused with SPF 30 protection is a fragrance-free, cream cleanser designed for sensitive skin. The user-friendly SPF technology encapsulates all the active ingredients providing a daily base layer of sun protection in 1 easy step. Additionally Kl¯enskin is enhanced with antioxidants and conditioners. Kl¯enskin Kids is a gentle, strawberry-scented cleanser with a user-friendly design that makes application easy in the shower. It also encapsulates all the active sunscreen ingredients layering the sunscreen on top of the skin, leaving a daily broad-spectrum SPF 30 protection. The products retail for $28 each and available through the company’s website. For more information, please visit www.colabsintl.com.
Protection in Any Environment
Rocky Mountain Sunscreen offers protection for every skin type in any environment, even high altitudes. All the sunscreen products (SPF 30, 50, 60 and 70) are broad-spectrum UVA/UVB, water resistant (80 minutes), greaseless, gluten-free, para-aminobenzoic acid-free, fragrance-free and hypoallergenic. Fortified with aloe, the sunscreen is formulated as a daily moisturizer — safe for daily use on the face and under makeup. Rocky Mountain Sunscreen features a bonding-based formula, which allows skin to breathe and perspire. As a result, the body is able to keep naturally cool by sweating, which is vital in all outdoor activities. Bonding base sunscreens work in the water, offering superior protection while swimming or sweating profusely.
Rocky Mountain Sunscreen is available in travel size, refillable bottles, quarts and gallons. For more information, please visit www.rmsunscreen.com.
Sunscreen Lip Balm Sticks
Lip balm sticks, from Carmex, featuring SPF 15, have received the “Daily Use” Seal of Recommendation from The Skin Cancer Foundation. The Skin Cancer Foundation recommends this line as “an effective broad-spectrum sunscreen,” because it meets the criteria and standards established by the Foundation’s Photobiology Committee. The Skin Cancer Foundation recommends these Carmex lip balm sticks as an effective aid in the prevention of sun-induced damage to the skin, including sunburn and possible premature aging. When used regularly, in the prescribed manner, these products may also help reduce the risk of skin cancer due to overexposure to sunlight. The lip balm sticks with SPF 15 are waterproof up to 80 minutes and are available in multiple flavors including lime pomegranate, lime and vanilla. For more information, see please visit www.mycarmex.com
Sun Screen on the Go
Sun Bum Premium Sunscreen Lotions in SPF 15+, SPF 30+, SPF 50+ and healing Cool Down Hydrating After Sun Lotion are available in a convenient travel size. Just like the full-sized versions, these miniature sunscreens deliver an ultra-lightweight formula and beachy fragrance, while the Cool Down Lotion is designed to help moisturize, heal and restore skin after a day in the sun. Available in Transportation Security Administration approved 3-oz. sizes, products range in price from $7.99 to $11.99 at select stores and via www.trustthebum.com.
Microshield Technology
La Roche has expanded its Anthelios suncare line with Anthelios 30 Cooling Water Lotion sunscreen and the Anthelios 60 Ultra Light Lotion Spray with Cell-Ox Shield XL 5.0 oz. It is a cooling gel-like lotion designed to refresh the skin while offering broad-spectrum UVA/UVB protection with antioxidants and long-lasting protection. The antioxidant complex includes Senna alata, a tropical leaf extract known to defend skin cells from environmental aggressors to help prevent premature aging. It is the first formula with UVA/UVB protection texture that “transforms like water on the skin,” while providing an immediate cooling effect. The Anthelios 60 Ultra Light Lotion Spray with Cell-Ox Shield XL 5.0 oz is newly reformulated and uses a new microshield technology that ensures the formula remains durable so skin is uniformly protected even during intense UV conditions or in water. The micro-shield technology is designed to provide advanced protection even after running or sweating. Both products retail for $35.99 each. For more information, please visit www.laroche-posay.us.
While talking to patients about sunscreen and other sun protective options is always important, spring and summer are crucial times for reminders. With an array of products available, patients are often confused about their options when it comes to skin protection.
Patient Counseling
A study conducted by researchers at Wake Forest School of Medicine and published in JAMA Dermatology1 found that the rate at which physicians mention sunscreen at patient visits is low, even for patients with a history of skin cancer. Using data from the National Ambulatory Medical Care Survey, the researchers identified patient visits to non-federal outpatient physician offices at US ambulatory care practices from January 1989 to December 2010 to determine how often sunscreen was recommended. During the study period, there were 18.3 billion patient visits nationwide. The results showed that physicians mentioned sunscreen at approximately 12.8 million visits (0.07%). Physicians reported mentioning sunscreen at 0.9% of patient visits associated with the diagnosis of a skin disease. Dermatologists recorded the mention of sunscreen the most (86.4% of all visits associated with sunscreen). Yet, dermatologists reported mentioning sunscreen at only 1.6% of all dermatology visits. The findings also indicated that sunscreen was mentioned most frequently to white patients, particularly to elderly patients and least frequently to children.
“The main take-home message is that sun protection is discussed far to rarely at physician office visits,” explains Scott A. Davis, MA, a co-author of the study and assistant director, Center for Dermatology Research, research administrative coordinator, department of dermatology at Wake Forest University Health Sciences in Winston-Salem, NC. He explains that the lack of sun protection counseling may be a missed opportunity for clinicians to fight the ongoing, growing epidemic of skin cancer.
Sunscreen Confusion
The American Academy of Dermatology recommends reapplication of water-resistant, broad-spectrum sunscreen of an SPF of 30 or greater every 2 hours. Some patient populations, such as people with ethnic skin, might believe they are resistant to sun damage.
“Many people of color mistakenly believe that they are not at risk, but skin cancer is color blind,” says Henry W. Lim, MD, FAAD, C.S. Livingood Chair and chairman of the department of dermatology at Henry Ford Hospital in Detroit, MI. “Skin cancer can look and develop differently in individuals with skin of color than it does in individuals with lighter skin.”
When skin cancer is diagnosed in people of color, it is often found in areas of the skin that are not typically exposed to the sun, such as the buttocks, hip, legs and feet (See related article in the May issue of The Dermatologist, Skin Considerations for People of Color, p. 31).
“The greatest problem may be that clinicians are simply not thinking about bringing up the topic of sun protection,” says Dr. Davis, who notes patients and parents may be very confused about all the conflicting information available in the media and on the Internet. The clinician must seek out the patient’s beliefs about sun protection to be able to correct any misconceptions, he adds.
In many case, families are not using enough sunscreen, according to Vincent DeLeo, MD, of St. Lukes/Roosevelt and Beth Israel Medical Centers in New York, NY.2 He offers some general guidelines about sunscreen application. Two tablespoons should cover an adult skin surface with one 8-oz bottle equaling 16 tablespoons. “So a family of 4 at the beach should use one bottle in 2 days,” he explains.
However, most people use 25% to 75% of the testing quantity, with most families of 4 using just 1.5 bottles a year. In general, 2 to 3 tablespoons are used for exposed body sites.
The cost of sunscreen can be a significant investment for people. One study by Mahe et al3 conducted a cost analysis and found that a 1-week beach vacation for a family of 4 should cost between $178 to $238 for the week. It would cost 33% less with sun protective clothing (See related article on page 28) and 41% less if large volume bottles are used. Cost for a transplant patient using sunscreen year-round, ranges from $249 to $292 per year.
A wide array of products is now available for sun protection and skincare. See related article in Sun Protective Wear. Although dermatologist might not want to recommend specific brands, they can explain to patients which type of sunscreen is best for which part of the body or which activity (See Sidebar). The following is a roundup of some of the new offerings in summer skin therapies this year.
Sidebar: Which Sunscreen Where?
“The best type of sunscreen is the one you will use again and again,” says dermatologist Henry W. Lim, MD, FAAD, C.S. Livingood Chair and chairman of the department of dermatology at Henry Ford Hospital in Detroit, MI. He points out that sunscreen selection is often a matter of personal choice, and may vary depending on the area of the body to be protected. Available sunscreen options include lotions, creams, gels, ointments, wax sticks and sprays. In general:
• Creams are best for dry skin and the face.
• Gels are good for hairy areas, such as the scalp or male chest.
• Sticks are good to use around the eyes.
• Parents often prefer sprays because they are easy to apply to children. Men might find it convenient to apply spray to a balding scalp. Although when using spray sunscreens, it is difficult to know if you have used enough spray sunscreen to cover all sun-exposed areas of the body, which may result in inadequate coverage.
Source: American Academy of Dermatology4
References
1. Akamine KL, Gustafson CJ, Davis SA, Levender MM, Feldman SR. Trends in sunscreen recommendation among US physicians. JAMA Dermatol. 2014;150(1):51-55.
2. DeLeo V. Sunscreens And Vitamin D. The American Academy of Dermatology’s 2013 Summer Academy Meeting; July 31-August 4, 2013; New York, NY.
3. Mahé E, Beauchet A, de Maleissye MF, Saiag P. Are sunscreens luxury products?
J Am Acad Dermatol. 2011;65(3):e73-e79.
4. Sunscreen 101: Dermatologists answer burning questions about sunscreen. American Academy of Dermatology website. https://aad.org/stories-and-news/news-releases/sunscreen-101-dermatologists-answer-burning-questions-about-sunscreens. Accessed May 19, 2014.
Fast-absorbing Sunscreen
Two new lightweight sunscreen formulas developed specifically for women — Coppertone ClearlySheer For Sunny Days and Coppertone ClearlySheer For Beach & Pool — are designed for everyday occasions year-round, and for time spent in and around the water. Both lines deliver broad-spectrum sun protection in lotions and sprays that absorb quickly. Coppertone ClearlySheer For Sunny Days offers sun protection and moisturizing benefits, and are suitable for everyday occasions, including walks to work, bike rides, soccer games and walks outside. Coppertone ClearlySheer For Beach & Pool offer a new sheer sunscreen that provides water-resistant protection. The formulas, which have easy application and are absorbed in seconds, feel light on skin and are ideal for walks on the beach and trips to the lake or pool. For more information, please visit www.coppertone.com.
Dual Function Treatment
Professional-C Suncare SPF 30 from Obagi Medical Products Inc. is the newest dual-function treatment and sun protection product that protects against skin damaging UVA and UVB rays and is formulated with 10% L-ascorbic acid (vitamin C) to address the signs of skin aging. Formulated in an anhydrous solution to help maintain stability of the 10% L-ascorbic acid, Professional-C Suncare SPF 30 is developed with vitamin C to complement collagen synthesis and brighten skin tone. Benefits of this suncare product include: broad-spectrum protection, non-comedogenic, hypoallergenic and suitable for all skin types.
Professional-C Suncare SPF 30 is available in dermatology, plastic surgery and other aesthetic physicians’ practices. Suggested retail price is $70. For more information, please visit www.obagi.com.
Ceramide Action
CeraVe Sunscreen SPF 50 for Face and CeraVe Sunscreen SPF 50 for Body are sunscreen lotions that use Invisible Zinc technology, which consists of a naturally sourced, microfine zinc oxide. This technology is designed to help deliver a dry, clear finish on the skin with powerful SPF 50 broad-spectrum protection from the sun’s damaging UVA and UVB rays. The lightweight, oil-free lotions spread easily and dry on the skin with a clear finish. CeraVe Sunscreen SPF 50 for Face and Body contain the brand’s hallmark skincare ingredients including ceramides, which help repair and restore the protective skin barrier. CeraVe Sunscreen SPF 50 for Face also contains niacinamide, which supports the skin’s production of natural ceramides and fatty acids essential for skin barrier repair, and may also help reduce skin redness. Both lotions are water-resistant up to 80 minutes and suitable for all skin types. A solid sunscreen is also available, The CeraVe SPF 50 Sunscreen Stick is a facial sunscreen stick, also made with Invisible Zinc technology, that rubs on easily with a targeted retractable applicator. CeraVe SPF 50 Sunscreen Stick also contains ceramides for skin barrier repair and is water resistant up to 40 minutes and suitable for all skin types. CeraVe Sunscreen SPF 50 for Face retails for $14.99, while CeraVe SPF 50 Sunscreen for Body retails for $16.99. The CeraVe SPF 50 Sunscreen Stick retails for $9.99. The CeraVe Skincare Line is available online, at drugstores and mass retailers nationwide. For more information, please visit www.cerave.com.
Professional Sunscreen Formulas
Glytone USA has introduced 2 new fragrance-free and para-aminobenzoic acid-free formulas to protect against sunburn and the premature skin aging that can result from cumulative sun exposure.
Glytone Sunscreen Lotion is an oil-free, mineral-based lotion with micronized zinc oxide providing SPF 40 broad-spectrum protection for the face and body.
The sunscreen also contains hyaluronic acid that helps boost the skin’s natural moisture level. Glytone Sunscreen Lotion should be applied 15 minutes before sun exposure. Reapply after 40 minutes of swimming or sweating, immediately after towel drying and at least every 2 hours.
Glytone Spray Mist Sunscreen combines an antioxidant complex to counteract sun damage with optimal SPF 50+ broad-spectrum UVA/UVB technology. The oil-free, non-whitening and non-comedogenic sunscreen comes in a continuous spray. Glytone Spray Mist Sunscreen should be sprayed 15 minutes before sun exposure. Reapply after 80 minutes of swimming or sweating, immediately after towel drying and at least every 2 hours. Glytone Sunscreen Lotion is $37 for a 4-oz bottle, and Glytone Spray Mist Sunscreen is $39 for a 6-oz bottle.
The products are available through select physician’s offices and through www.dermstore.com and www.skincarerx.com.
For more information, please visit www.glytone-usa.com.
Physical Eye UV Defense
SkinCeuticals Physical Eye UV Defense provides broad-spectrum SPF 50 protection without migration or irritation of the eyes. Formulated specifically for the structure of the inner and more sensitive skin around the eyes, Physical Eye UV Defense is a daily, high protection, non-irritating, 100% mineral-based product that is designed to defend and enhance the eye area. Key ingredients include microfine zinc oxide that provides broad-spectrum protection against burning UVB as well as aging UVA rays. The particle size and distribution characteristics spread evenly and provide a non-whitening effect. The product’s microfine titanium dioxide is a non-chemical SPF contributor, protecting against UVB and low-range UVA rays. The ceramides nourish the delicate skin around the eyes.
Physical Eye UV Defense should be applied daily to the entire eye area; under the eye, on the crow’s feet area and on eyelids. It is suitable for all skin types and tones and for use under makeup. Available in a 10 mL/0.3-oz bottle, the suggested retail price is $30. For more information, please visit www.skinceuticals.com.
Sunscreen Line Expansion
L’Oréal Paris Advanced Suncare offers new sun protection products infused with powerful antioxidants vitamin E and white grape seed to help keep skin healthy. Advance Silky Sheer BB Face Lotion 50+ is the company’s first BB facial broad-spectrum sunscreen. It protects skin with a patented UVA/UVB filter and evens skin for a healthy tinted complexion. The multi-acting formula absorbs quickly and layers invisibly under makeup.
Advanced Suncare Invisible Protect Sheer Spray SPF 30 offers an exclusive patented UV filter system that delivers long-lasting, broad-spectrum protection with a sheer formula. The spray formula absorbs quickly for a streak-free, invisible finish. Both products should be applied 15 minutes before sun exposure. Reapply after 80 minutes of swimming or sweating, immediately after towel drying and at least every 2 hours. For more information, please visit www.lorealparisusa.com.
After Sun Repair Lotion
Eau Thermale Avène After-Sun Repair Lotion is formulated to soothe and hydrate the skin after sun exposure. The lotion is paraben-free, hypoallergenic, non-comedogenic and is designed with ingredients to encourage reconstruction of the skin barrier. Light and non-oily, it is rapidly absorbed for pleasant application after any sun exposure. Eau Thermale Avène After-Sun Repair Lotion is available in a 200-mL bottle. For more information, please visit www.aveneusa.com.
Sun Protection in a 3-in-1 Shampoo, Face and Body Wash
CoLabs Intl Corp recently introduced the Kl¯enskin product line — the first and only shower on SPF that is applied to the scalp, face and body, without extra steps and the greasy residue of lotions and creams. All Kl¯enskin products are a 3-in-1 shampoo, face and body wash offering broad-spectrum protection against UVA/UVB radiation. The product line is water resistant for 80 minutes. Designed to not interfere with other daily skincare products, its formulation provides practical, everyday sunscreen protection that is hypoallergenic and paraben-free.
Kl¯enskin infused with SPF 30 protection is a fragrance-free, cream cleanser designed for sensitive skin. The user-friendly SPF technology encapsulates all the active ingredients providing a daily base layer of sun protection in 1 easy step. Additionally Kl¯enskin is enhanced with antioxidants and conditioners. Kl¯enskin Kids is a gentle, strawberry-scented cleanser with a user-friendly design that makes application easy in the shower. It also encapsulates all the active sunscreen ingredients layering the sunscreen on top of the skin, leaving a daily broad-spectrum SPF 30 protection. The products retail for $28 each and available through the company’s website. For more information, please visit www.colabsintl.com.
Protection in Any Environment
Rocky Mountain Sunscreen offers protection for every skin type in any environment, even high altitudes. All the sunscreen products (SPF 30, 50, 60 and 70) are broad-spectrum UVA/UVB, water resistant (80 minutes), greaseless, gluten-free, para-aminobenzoic acid-free, fragrance-free and hypoallergenic. Fortified with aloe, the sunscreen is formulated as a daily moisturizer — safe for daily use on the face and under makeup. Rocky Mountain Sunscreen features a bonding-based formula, which allows skin to breathe and perspire. As a result, the body is able to keep naturally cool by sweating, which is vital in all outdoor activities. Bonding base sunscreens work in the water, offering superior protection while swimming or sweating profusely.
Rocky Mountain Sunscreen is available in travel size, refillable bottles, quarts and gallons. For more information, please visit www.rmsunscreen.com.
Sunscreen Lip Balm Sticks
Lip balm sticks, from Carmex, featuring SPF 15, have received the “Daily Use” Seal of Recommendation from The Skin Cancer Foundation. The Skin Cancer Foundation recommends this line as “an effective broad-spectrum sunscreen,” because it meets the criteria and standards established by the Foundation’s Photobiology Committee. The Skin Cancer Foundation recommends these Carmex lip balm sticks as an effective aid in the prevention of sun-induced damage to the skin, including sunburn and possible premature aging. When used regularly, in the prescribed manner, these products may also help reduce the risk of skin cancer due to overexposure to sunlight. The lip balm sticks with SPF 15 are waterproof up to 80 minutes and are available in multiple flavors including lime pomegranate, lime and vanilla. For more information, see please visit www.mycarmex.com
Sun Screen on the Go
Sun Bum Premium Sunscreen Lotions in SPF 15+, SPF 30+, SPF 50+ and healing Cool Down Hydrating After Sun Lotion are available in a convenient travel size. Just like the full-sized versions, these miniature sunscreens deliver an ultra-lightweight formula and beachy fragrance, while the Cool Down Lotion is designed to help moisturize, heal and restore skin after a day in the sun. Available in Transportation Security Administration approved 3-oz. sizes, products range in price from $7.99 to $11.99 at select stores and via www.trustthebum.com.
Microshield Technology
La Roche has expanded its Anthelios suncare line with Anthelios 30 Cooling Water Lotion sunscreen and the Anthelios 60 Ultra Light Lotion Spray with Cell-Ox Shield XL 5.0 oz. It is a cooling gel-like lotion designed to refresh the skin while offering broad-spectrum UVA/UVB protection with antioxidants and long-lasting protection. The antioxidant complex includes Senna alata, a tropical leaf extract known to defend skin cells from environmental aggressors to help prevent premature aging. It is the first formula with UVA/UVB protection texture that “transforms like water on the skin,” while providing an immediate cooling effect. The Anthelios 60 Ultra Light Lotion Spray with Cell-Ox Shield XL 5.0 oz is newly reformulated and uses a new microshield technology that ensures the formula remains durable so skin is uniformly protected even during intense UV conditions or in water. The micro-shield technology is designed to provide advanced protection even after running or sweating. Both products retail for $35.99 each. For more information, please visit www.laroche-posay.us.
