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November 21, 2009
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Sun Protection and Sunscreens

Medical Author: Melissa Conrad Stoppler, MD
Medical Editor: William C. Shiel Jr., MD, FACP, FACR

Making Sense of Sunscreen Products

Medical Author: Melissa Conrad Stöppler, MD
Medical Editor: Barbara K. Hecht, PhD

Find out how to choose the best sunscreen.Most people are understandably confused when it comes to choosing a sunscreen because of the baffling array of available choices. Common questions about sunscreens include

  • How high should the SPF be?
  • Should it block UVA or UVB?
  • Does it matter whether it is a gel, cream, or spray?
  • Should it be water-resistant or waterproof?

SPF stands for sun protection factor. The SPF numbers on a product can range from as low as 2 to as high as 60. These numbers refer to the product's ability to screen or block out the sun's burning rays. The SPF rating is calculated by comparing the amount of time needed to produce sunburn on protected skin to the amount of time needed to cause a sunburn on unprotected skin. The higher the SPF, the greater the sun protection. However, it is a common mistake to assume that the duration of effectiveness of a sunscreen can be calculated simply by multiplying the SPF by the length of time it takes for him or her to suffer a burn without sunscreen, because the amount of sun exposure a person receives is dependent upon more than just the length of time spent in the sun. The amount of sun exposure depends upon a number of factors including the length of exposure, time of day, geographic location, and weather conditions.

What is sun protection?

Sun protection is simply guarding a body from the adverse effects of sunlight. Aside from the hazards of heat, the sun poses the danger of sunburn, which can permanently damage the skin and cause skin cancer, precancerous changes in the skin, as well as premature wrinkling and signs of aging. Exposure to ultraviolet rays from the sun is a known risk factor for the development of both melanoma and non-melanoma skin cancers.

How is sunburn best prevented?

The best ways to avoid sunburn are to

  • limit time in the sun, especially between peak sunlight hours of 10 a.m. and 3 p.m.;


  • wear protective clothing, including


    • a broad-brimmed hat,


    • a shirt with sleeves that cover the arms, and


    • a long skirt or pants with long legs; and


  • use a protective sunscreen to minimize the penetration of the sun's ultraviolet (UV) rays.

What is sunscreen?

Sunscreen is any substance or material that protects the skin from UV radiation. Sunscreens are available in the forms of topical lotion, cream, ointment, gel, or spray that can be applied to the skin; a salve or stick that can be applied to the lips, nose, and eyelids; a moistener in towelettes that can be rubbed against the skin; sunglasses that protect the eyes; certain types of sun-protection clothing; and film screen that can be affixed to the windows of a car, room, or office.

What is meant by SPF?

SPF, an abbreviation for sun-protection factor, is a number such as 15, 30, or 50 that indicates the degree of sunburn protection provided by sunscreens. SPF is related to the total amount of sun exposure rather than simply the length of sun exposure. It is a common mistake to assume that the duration of effectiveness of a sunscreen can be calculated simply by multiplying the SPF by the length of time it takes for him or her to suffer a burn without sunscreen, because the amount of sun exposure a person receives is dependent upon more than just the length of time spent in the sun. The amount of sun exposure depends upon a number of factors including the length of exposure, time of day, geographic location, and weather conditions.

A common mistake is applying too little sunscreen, which can drastically reduce the effective SPF of the product. About 1 ounce (5-6 teaspoons) of sunscreen is recommended to cover the entire body. Further, sunscreen must be reapplied every two hours when staying outdoors for a prolonged period of time. Sunscreen should also be applied at least 30 minutes before going outdoors.

People with sensitive skin who burn quickly and must spend a lot of time outdoors should always apply a sunscreen with an SPF of 30 or more.



Next: Are all sunscreens equally effective against UV radiation? »

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