ACTINIC DAMAGE | International Academy of Cosmetic Dermatology

International Academy of Cosmetic Dermatology

ACTINIC DAMAGE – See also Telangiectasia

Actinic damage, also called sun damage, represents skin changes due to excessive sun exposure. Ultraviolet light A (UVA) interferes with DNA repair through the release of reactive oxygen, resulting in oxidation of both protein and lipids, whereas ultraviolet light B (UVB) causes DNA mutations.

Signs of sun damage include:

Atrophy – thinning of the skin
Elasticity reduction
Erythema – redness
Freckles and other hyperpigmented lesions
Hypertrophy – thickening of the skin
Immunosuppression
Photosensitivity
Sunburn
Suntan
Telangiectasia – broken blood vessels
Wrinkles

With more extensive sun exposure, there is the risk of developing skin cancer:

Actinic keratosis – precancerous lesion
Basal cell carcinoma
Melanoma
Squamous cell carcinoma.

Skin cancer is completely curable when treated in the early stages.

Photoaging may be defined as the damage from sunlight, as opposed to normal aging, where the skin loses its elasticity, becomes thinner, and develops fragility. The two processes may be indistinguishable.

Some sunlight exposure is beneficial, but too much sun is not good.

Limit time under the sun
Avoid sun exposure between 10 AM and 4 PM

Be reasonable under the sun should be the motto and use sun protection:

Appropriate clothing that does not allow sun to hit the skin and wearing a hat
Appropriate sunscreens
- High SPF (sun protective factor)
- Both UVA and UVB protection
- Frequent applications
  - First application 15 to 30 minutes before sun exposure
  - Repeat applications every two hours
  - Critical areas are hands, shoulders, and face
  - N.B. not for babies younger than six months

Lawrence Charles Parish, MD, MD (Hon)
Philadelphia, PA, USA
Marcia Ramos-e-Silva, MD, PhD
Rio de Janeiro, Brazil

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