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Want to banish your pale skin in favor of a deep, dark tan? Join the club. Especially when summer looms, many people start considering the best way to get that sun-bronzed glow — turning to self-tanners, tanning booths, a stretch in the sun, or a combination of these.

To many people, summer means hanging out at the pool or the beach, soaking up rays and baking in the sun in pursuit of the perfect golden tan. Indeed, most Americans, including up to 80% of people under age 25, think they look better with a tan.

But before you don your bathing suit and head to the pool — or into a tanning booth — spend a few minutes finding out about your skin and sun exposure. These facts can help you get the look you want without stressing your skin.

How Tanning Happens

The sun's rays contain two types of ultraviolet radiation that reach your skin: UVA and UVB. UVB radiation burns the upper layers of skin (the epidermis), causing sunburns.

UVA radiation is what makes people tan. UVA rays penetrate to the lower layers of the epidermis, where they trigger cells called melanocytes (pronounced: mel-an-oh-sites) to produce melanin. Melanin is the brown pigment that causes tanning.

Melanin is the body's way of protecting skin from burning. Darker-skinned people tan more deeply than lighter-skinned people because their melanocytes produce more melanin. But just because a person doesn't burn does not mean that he or she is also protected against skin cancer and other problems.

Tanning Downsides

UVA rays may make you tan, but they can also cause serious damage. That's because UVA rays penetrate deeper into the skin than UVB rays. UVA rays can go all the way through the skin's protective epidermis to the dermis, where blood vessels and nerves are found. Because of this, UVA rays may damage a person's immune system, making it harder to fight off diseases and leading to illnesses like melanoma, the most serious (and deadly) type of skin cancer.

Melanoma can kill. If it's not found and treated, it can quickly spread from the skin to the body's other organs.

Skin cancer is epidemic in the United States, with more than 1 million new cases diagnosed annually. Although the numbers of new cases of many other types of cancer are falling or leveling off, the number of new cases of melanoma is growing. In the past, melanoma mostly affected people in their fifties or older, but today dermatologists see patients in their twenties and even late teens with this type of cancer. Experts believe this is partly due to an increase in the use of tanning beds and sun lamps, which have high levels of UVA rays.

Doctors also think that UVB rays play a role in the development of melanoma. That's because a sunburn or intense sun exposure may increase a person's chances of developing this deadly cancer.

Exposure to UVB rays also increases your risk of getting two other types of skin cancer: basal and squamous cell carcinoma.

The main treatment for skin cancers is excision — cutting the tumors out. Since many basal or squamous cell carcinomas are on the face and neck, surgery to remove them can leave people with facial scars. The scars from surgery to remove melanomas can be anywhere on the body, and they're often large.

Cancer isn't the only problem associated with UV exposure. UVA damage to the dermis is the main factor in premature skin aging. To get a good idea of how sunlight affects the skin, look at your parents' skin and see how different it is from yours. Much of that is due to sun exposure, not the age difference! UV rays can also lead to another problem we associate with old people: the eye problem cataracts.

Sun Smarts

Staying out of the sun altogether may seem like the only logical answer. But who wants to live like a hermit? The key is to enjoy the sun sensibly, finding a balance between sun protection and those great summer activities like beach volleyball and swimming.

Sunscreens or sunblocks, which block or change the effect of the sun's harmful rays, are one of your best defenses against sun damage because they protect you without interfering with your comfort and activity levels.

The SPF number on a sunscreen shows the level of UVB protection it gives. Sunscreens with a higher SPF number provide more defense against the sun's damaging UV rays.

Here are some tips to enjoy the great outdoors while protecting your skin and eyes from sun damage:

  • Wear sunscreen with an SPF of at least 15 every day, even on cloudy days and when you don't plan on spending much time outdoors. Wearing sunscreen every day is essential because as much as 80% of sun exposure is incidental — the type you get from walking your dog or eating lunch outside. If you don't want to wear a pure sunscreen, try a moisturizer with sunscreen in it, but make sure you put on enough.
  • Use a broad-spectrum sunscreen that blocks both UVA and UVB rays. Ideally, it should also be hypoallergenic and noncomedogenic so it doesn't cause a rash or clog your pores and give you acne.
  • Apply sunscreen thickly and frequently. If you're not sure you're putting on enough, switch to one with a higher SPF. Regardless of the SPF, always reapply sunscreen after a couple of hours. Most broad-spectrum sunscreens are more effective at blocking UVB rays than UVA rays. So even if you don't get a sunburn, UVA rays could still be doing unseen damage to your skin.
  • Reapply sunscreen every 11/2 to 2 hours and after swimming or sweating. In direct sun, wear a sunscreen with a higher SPF, like SPF 30. While playing sports, use sunscreen that's waterproof and sweatproof, but still reapply sunscreen every 11/2 to 2 hours.
  • Take frequent breaks. The sun's rays are strongest between 10:00 A.M. and 4:00 P.M. During those hours, take breaks to cool off indoors or in the shade for a while before heading out again.
  • Wear a hat with a brim and sunglasses that provide almost 100% protection against ultraviolet radiation.

And here are some other things to be aware of when it comes to avoiding sun damage:

  • You probably know that water is a major reflector of UV radiation — but so is snow. Snow skiing and other winter activities carry significant risk of sunburn, so always apply sunblock before hitting the slopes.
  • Certain medications, such as antibiotics used to treat acne and birth control pills, can increase your sun sensitivity (as well as your sensitivity to tanning beds). Ask your doctor whether your medications might have this effect and what you should do.
  • Avoid tanning "accelerators" or tanning pills that claim to speed up the body's production of melanin or darken the skin. There's no proof that they work and they aren't approved by government agencies for tanning purposes.

Trauma-free Tans

Even when you're serious about protecting your skin, you may sometimes want the glow of a tan. Luckily, many products on the market — but not sun lamps or tanning beds — will let you tan safely and sun-free.

One safe way to go bronze is with sunless self-tanners. These "tans in a bottle" contain dihydroxyacetone (DHA), which gradually stains the dead cells in your skin’s outer layer. The "tan" lasts until these skin cells slough off, so exfoliating or vigorously washing will make the color fade faster. Typically, these "fake bakes" last from several days to a week.

You may have to try a few brands of self-tanner to find one that looks best with your skin tone. Options include sprays, lotions, and towelettes, and they're easy to use. For a subtle, goof-proof glow, try one of the new moisturizers that contain a modest amount of fake tanner, letting you gradually build up a little color without blotches and staining — or the smell that some people dislike. All of these options are cheap, too, usually around $10.

Ask a friend to help you apply self-tanner to spots you can't reach, like your back, for even results all over. And be sure to wash it off of body areas that normally don't tan — like the palms of your hands and soles of your feet — otherwise, they'll just look dirty.

You might also check out salons that offer airbrush tanning. Airbrush tans may look more like a natural tan with more even results. With an airbrush tan, a salon technician will hook up a DHA solution to a spray compressor and spray the tan onto you. Your eyes, lips, and nose will be covered to protect them during the process, which takes anywhere from about 5 seconds to 1 minute. A few hours after the application, you'll start noticing your new, safe tan.

With both self-tanners and airbrush tanning, you'll get better results if you exfoliate your skin with a scrub brush or loofah before the tanner is applied. This evens your skin tone and removes dead skin cells.

And with both types of sunless tanning, you'll still need to wear sunscreen when you go outdoors to protect you from the sun's rays. Fake tans don't generate melanin production, so they won't protect you against sunburn. But the upside is that you get the warm glow of a tan while you keep your skin beautiful for years to come.

Reviewed by: Patrice Hyde, MD
Date reviewed: June 2009


Related Sites

American Cancer Society
American Academy of Dermatology
The Skin Cancer Foundation

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