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Dr. Manish Khanna

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The Number One Cause of Skin Aging

Posted: 02/16/2013 8:16 am

As a husband and father who enjoys family vacations at picture-perfect seaside destinations I can understand the argument behind "feeling elated" when the warmth of the sun beats down on you. As a Dermatologist I have to warn you -- there is no such thing as a "healthy glow" from a suntan.

In fact, ultraviolet radiation from the sun has been classified by the World Health Organization as "known to be carcinogenic to humans." Meaning, we have proven scientifically that sun exposure causes skin cancer.

Apart from being potentially life-threatening (i.e., skin cancer), the sun also fast-tracks the aging process. Imagine the sun as the opposite of the fountain of youth. Skin that has been exposed to the sun, whether because of sun worshipping or excessive exposure due to outdoor activities, ages prematurely. Premature aging means that the changes that occur in the skin are not due to the natural aging process and can be prevented.

Sunlight & Ultraviolet (UV) Radiation.

Where's the danger coming from? Light travels from the sun to the earth as an elelectromagnetic wave. UV radiation is found in sunlight. It passes through the ozone layer as waves of energy and cannot be felt nor seen by us. UV radiation can be classified into UVA and UVB.

Both UVA and UVB cause our skin to age more rapidly than if we were to avoid the sun and use proper protection (sunscreens, clothing, hats). Therefore, sun exposure is considered a form of "extrinsic aging." This means that our skin ages due to something in the environment. In fact, most premature aging can be accounted for by exposure to ultraviolet (UV) radiation from the sun. Smoking, another "known carcinogen" comes in second place. "Intrinsic" aging, on the other hand, is due to our genetics: essentially it represents the biological clock of our skin cells.

Assault on your Skin Cells!

Many people still measure "damage" from the sun in the form of a sunburn or "feeling too hot." What many have not learned is that UV radiation (remember -- this is neither felt nor seen) causes DNA damage to our skin cells and affects the protective functions of our skin.

UVA and UVB radiation actually changes the way our skin cells make chemicals. For example, tanned skin is the result of the overproduction of melanin -- the chemical that darkens the skin. This is the skin's natural response to protect against damage. Chronic or excessive sun exposure can cause skin cells producing melanin to mutate and divide uncontrollably, resulting in uneven or irregular pigmentation of the skin.

Photoaging -- Skin Aging Caused by the Sun

The medical term used to describe the damage the sun inflicts on our skin is "photoaging." If your skin is repeatedly exposed to sunlight without the necessary precautions, your skin loses its ability to repair itself. What is critical to understand, and should be explained to every parent by their pediatricians so that good habits develop early on, is that the damage accumulates over time -- from infancy to adulthood.

Scientific studies have shown that repeated UV exposure breaks down collagen and impairs the synthesis of new collagen. The sun also attacks our elastin fibers. Without the skin's supportive connective tissue (collagen and elastin) our skin loses its strength and flexibility. Essentially, the sun makes us look older, faster.

Our Skin Regretfully has the Best Memory!

"FRY NOW -- PAY LATER!!" These words of warning are from a skin cancer awareness advertising campaign (American Academy of Dermatology) and they are indisputable. Your skin is like a daily diary that's being kept from a very young age. It doesn't forget -- it keeps track. Every time we expose ourselves to the sun, changes to our skin occur. Over time these changes will alter how our skin looks and feels. These changes don't happen overnight!

Most people mistakenly consider the changes that their skin experiences over time as a normal part of aging. The fact is that the changes that we undergo as a result of photoaging are preventable and are not the natural aging process. If our skin has not been exposed to UV radiation it ages differently.

The skin changes, caused by photoaging, that are responsible for most of the harm that we view as aged skin and that are not inevitable include:

a) a leathery skin texture
b) loose & wrinkled skin
c) dryness
d) freckles
e) sun spots (often seen on the backs of the hands, chest, shoulders, arms, and upper back commonly referred to as 'liver spots' but are strictly related to sun damage)
f) easy bruising
g) skin growths
h) rough/reddish skin patches (actinic keratoses)
i) the appearance of red blood vessels
j) thinning of and yellow discoloration of the skin

Sun Exposure - It's not just Tanning by the Pool.

A great misconception is that most people think sun-damaged skin is a result of intentionally sun-tanning. What is consistently underestimated by us is the amount of incidental exposure people acquire from "outdoor" activities such as walking to the car, sitting on a park bench and even driving during the daytime (UVA radiation is not filtered by glass so windows do not protect you!).

The cumulative exposure from these brief moments is enough to cause the skin changes listed above. As a general rule -- the more chronic the exposure, the more severe the sun damage.

Another very common but mistaken belief is that the sun is only dangerous in the summer. Exposure to the sun during the fall, winter and spring months puts you at risk just as exposure during the summertime does. Just look at veteran skiers who have had a lifetime of sun reflecting off the snow!

Reversing Skin Aging Begins with Staying out of the Sun!

The visible signs of skin aging are, no doubt, a growing cosmetic concern as people are living longer and there is a general trend towards maintaining a healthier lifestyle. Unhealthy-looking skin does not reflect how people feel about themselves as they generally feel a lot younger than their chronological age. A woman in her early 50s who has had too much sun may look 10 years older than her actual age but she does not have to accept that "fate."

Aesthetically speaking, there are a multitude of medical treatments that do, to a certain extent, reverse the signs of skin aging. Understanding the harmful effects of the sun and modifying certain habits is key to preventing further damage and should be the first step towards rejuvenating your skin.

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  • Wear Sunscreen -- All The Time

    "Wear sunscreen constantly," says Christine Janus, executive director of the <a href="http://www.skinpatientalliance.ca/" target="_hplink">Canadian Skin Patient Alliance (CSPA)</a>, an organization that provides support for those with skin conditions. Janus recommends wearing about three quarters of a shot glass full or as much as you need to cover exposed skin. She also says we should reapply the lotion every four to six hours if you're going in the water or working out.

  • Don't Take Risks -- With Your Skin

    "If your skin looks or feels different, rough like sandpaper for example, get it checked -- don't wait," Janus says. Treatments for skin cancers exist, but the the more you expose your skin, the higher your risks are, she says.

  • Limit Exposure

    "Limit your time outdoors and during peak hours when the sun is up," Janus says.

  • Wear A Hat

    Make sure when you're outside you wear a hat. "Men should be wearing hat as well. The top spots for skin cancer for men is on their head and back," Janus says.

  • Try UV Clothing Or Umbrellas

    Ultraviolet clothing is also another level of protection, Janus says. There are now companies that manufacture specialized items that have a built-in UV layer. She also recommends an umbrella.

 
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As a husband and father who enjoys family vacations at picture-perfect seaside destinations I can understand the argument behind "feeling elated" when the warmth of the sun beats down on you. As a Der...
As a husband and father who enjoys family vacations at picture-perfect seaside destinations I can understand the argument behind "feeling elated" when the warmth of the sun beats down on you. As a Der...
 
 
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jf12
When I saw her I marveled greatly.
11:17 AM on 02/18/2013
Due to a relative's skin cancer I stayed out of the sun for over 60 years and have great skin but had an unattractive pallor. One year of moderate sun exposure was enough, evidently, to slightly but permanently redden (pink-en) exposed areas.
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08:48 PM on 02/17/2013
Moderate exposure to sun is good for you. There is probably a reason that flu and cold season is in the winter. Immune systems are collectively depressed in part due to lack of sun exposure and being inside. Don't overdo the sun exposure, don't rely on sunscreens or any other chemical crap. Use some common sense.
07:58 PM on 02/17/2013
The Doctor is correct but has failed to mention we need sunlight to live and of course without it we might all have a Vitamin D deficiency. All the technical information is right on the money but the message should be; keep out of the tanning salons and don't bake yourself on the beach. Enjoy the sun in moderation and remember no one will like you just because you have a tan.
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truthupontruth
Grateful for every atom, photon and second
07:18 PM on 02/17/2013
I live in Canada where the exposure aspect differs from the USA. Having worked with a white woman who had a spot removed from her driving arm, I can appreciate the need for limited exposure. However I'm darker skinned and had psoriasis for 37 years which "spontaneously " resolved after six months of Vitamin D about 5000 IU daily. So it's not just the amount of sun you get, it also depends on how much color God gave you.
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06:36 PM on 02/16/2013
I saw no mention of skin cancer incidence figures for Canada?

Virtually all cancers have more to do with individual genetics than externalities. Have the right genetic makeup & your a cancer case waiting to happen.

Externalities such as the sun & smoking are only triggers for cancer in those that already have an existing predisposition for that type of cancer.

Without that predisposition (the right genetics) the sun will never give you skin cancer.

We also don't need science to tell us that the evidence is all around us. Millions sun bath annually & never get skin cancer. That show the sun is not the cause only a trigger mechanism.
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logicanada
Blogger, radio co-host, writer, editor, voice-over
01:46 PM on 02/16/2013
No one I know has ever has skin cancer. Everyone I know is an out of doors type person. I'd attribute cancers of the skin more to chemical based 'UV skin blocks' than to a sunny day any time.
01:39 PM on 02/16/2013
So is this more about cosmetics or skin health?
Because I've been looking into sunscreen research and I'm surprised it's still so promoted. Critical thinking would make one wonder why slathering an array of "known human carcinogens" (like formaldehyde releasing chemicals Quaternium 15, etc..) and "suspected human carcinogens" (parabens), photo-carcinogens (only carcinogenic when exposed to sun like vitamin a) and sun-blocking chemicals and nano particles with little safety data, every four hours to block a carcinogen your body has developed a system to fight (melanin) is such a great idea? People survived for a long time without sunscreen... they just stayed out of the sun at peak hours, and covered up.
Looking at the data of countries with the highest levels of skin cancer one can't help but note they are the countries with the highest sunscreen use regardless of amount of sun exposure (Northern countries being on the list, with some equator countries not high on the list)...
Plus our body need some sun exposure to produce vitamin d which is required for healthy bone growth, and much, much more, including immune system health with is important to fight the development of skin cancer.
So much of the article is based on beauty of the skin over the health of the skin, and remaining young looking... our bodies are built to age. Stopping the natural aging process is not necessarily healthy... it's somewhat obsessive.
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09:36 PM on 02/16/2013
The northern countries are under some of the thinnest ozone layers though. UV radiation is increasing from generations past, and is only getting worse.
12:52 PM on 02/16/2013
Is this more about cosmetic view of the skin, or preventing skin cancer?
I've been researching evidence-based research articles on sunscreen, and it's ingredients. Most sunscreens have a wide variety of "known human carcinogens" and "suspected human carcinogens". Many of the ingredients have very little safety data. Skin cancer is also most prominent in countries that use the most sunscreen, regardless of the strength of the sun. Recent data shows that sun screen may increase the risk of skin cancer (possibly because it allows people to expose themselves longer to UV rays without burning, but with varying levels UV blocking UVA, UVB, UVC UVR, the last two not blocked at all by sunscreen).
Then one needs to look at the need of UV rays to synthesize vitamin D...
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10:03 PM on 02/16/2013
UVR,(ultraviolet radiation) stands for all UV light in the spectrum, not a separate wavelength itself. As for UVC, it is absorbed by our atmosphere and does not penetrate to ground level, so there is no need to create sunscreens to block it. The only time one would worry about high levels of UVC is with exposure in outer space or with man made UVC lights used for their germicidal applications. When humans are in situations where they may be exposed to UVC, appropriate clothing and eye wear would be needed.
11:50 AM on 02/16/2013
No, sorry, not logical. If the sun caused skin cancer, the human species would have never evolved. If the sun is the cause, humanity is simply impossible. That's the equation. So the cause of skin cancer is more complex. There is clear evidence that the Vitamin D the skin produces by sun exposure shuts down cancer. But clearly, COMPLEXITY is not what Big Pharma wants to hear, so they proclaim something else which can be used to sell drugs, surgery or more doctor arrogance. How about those doctors selling cigarettes in commercials not too long ago, doctors pushing all kinds of things that are soon found out to be harmful. Fluoride in the water supply! My god! Convenient profit is everything, for Big Pharma.
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09:48 PM on 02/16/2013
Slam big phara all you want, but for most of human evolution, one's life expectancy was less than 40y. And when one did die of a disease, and not by misadventure or a foe/predator, it was often quite gruesome. Modern medicine has improved our lives immensely. Many cases of cancer may be due to the fact that we are now living longer than ever, giving the cancer more and more time to develop at all. You are right to note that several links in a chain need to be present to develop cancer, but remove even one, and you avoid it all together. I for one will stay inside during peak burning hours, wear my SPF every day, and take a vit D pill. The ozone layer is thinner than it was during any other time in human evolution, and my pale skinned family has had more than it's share of melanomas removed off of it for me to skip sunscreen.
11:29 PM on 02/16/2013
What is the blopger try to say? Please go to Cuba a have a wonderful time on the beach....