DOES SUNSCREEN WORK? | Dermatologist @DrDrayzday

DOES SUNSCREEN WORK? Dermatologist @DrDrayzday explains HOW SUNSCREEN WORKS AND WHY SUNSCREEN IS SO IMPORTANT. Does sunscreen really prevent wrinkles and skin cancer? #sunscreen #skinhealth #dermatologist
Is sunscreen absorbed into the body?
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References
Sambuco CP, Forbes PD, Davies RE, et al. An animal model to determine sunscreen protectiveness against both vascular injury and epidermal cell damage. J Am Acad Dermatol 1984;10:737–43.
Ananthaswamy HN, Loughlin SM, Cox P, et al. Sunlight and skin cancer: inhibition of p53 mutations in UV-irradiated mouse skin by sunscreens. Nat Med 1997;3:510–4.
Green A, Williams G, Neale R, et al. Daily sunscreen application and betacarotene supplementation in prevention of basal-cell and squamous-cell carcinomas of the skin: a randomised controlled trial. Lancet 1999;354:723–9.
Green AC, Williams GM, Logan V, et al. Reduced melanoma after regular sunscreen use: randomized trial follow-up. J Clin Oncol 2011;29:257–63.
Gasparro FP, Mitchnick M, Nash JF. A review of sunscreen safety and efficacy. Photochem Photobiol 1998;68:243–56.
van der Pols JC, Williams GM, Pandeya N, et al. Prolonged prevention of squamous cell carcinoma of the skin by regular sunscreen use. Cancer Epidemiol Biomarkers Prev 2006;15:2546–8.
Thompson SC, Jolley D, Marks R. Reduction of solar keratoses by regular sunscreen use. N Engl J Med 1993;329:1147–51.
Ulrich C, Jürgensen JS, Degen A, et al. Prevention of non-melanoma skin cancer in organ transplant patients by regular use of a sunscreen: a 24 months, prospective, case-control study. Br J Dermatol 2009;161(Suppl 3):78–84.
Silva ES, Tavares R, da Paulitsch FS, et al. Use of sunscreen and risk of melanoma and non-melanoma skin cancer: a systematic review and meta-analysis. Eur J Dermatol 2018;28:186–201
Rueegg CS, Stenehjem JS, Egger M, et al. Challenges in assessing the sunscreen-melanoma association. Int J Cancer 2019;144:2651–68.
Boyd AS, Naylor M, Cameron GS, et al. The effects of chronic sunscreen use on the histologic changes of dermatoheliosis. J Am Acad Dermatol 1995;33:941–6.
Hughes MCB, Williams GM, Baker P, et al. Sunscreen and prevention of skin aging: a randomized trial. Ann Intern Med 2013;158:781–90.
Phillips TJ, Bhawan J, Yaar M, et al. Effect of daily versus intermittent sunscreen application on solar simulated UV radiation-induced skin response in humans. J Am Acad Dermatol 2000;43:610–8.
SeitĆ© S, Reinhold K, Jaenicke T, et al. Broad-spectrum moisturizer effectively prevents molecular reactions to UVA radiation. Cutis 2012;90:321–6.
Grimes P, Halder R, Verschoore M, Wangari-Talbot J, Pillai K, Foltis P, Bouez C, Galdi A, Abdelhalim D, Liao IC, Zheng Q. Long-Term Benefits of Daily Photo-Protection With a Broad-Spectrum Sunscreen in United States Hispanic Female Population. J Drugs Dermatol. 2020 Mar 1;19(3):236-242. PMID: 32550692.

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Disclaimer: This video is not intended to provide diagnosis, treatment or medical advice. Content provided on this Youtube channel is for informational purposes only. Please consult with a physician or other healthcare professional regarding any medical or health related diagnosis or treatment options. Information on this Youtube channel should not be considered as a substitute for advice from a healthcare professional. The statements made about specific products throughout this video are not to diagnose, treat, cure or prevent disease.

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63 Comments

  1. From my experience using sunscreen (one data point) daily, I have noticed a clear difference in my skin. I don’t burn but I have developed photosensitivity to sun exposure (rashes/breakouts) and putting sunscreen on does mitigate it. This is just anecdotal but I (and my hubby as well) have noticed that the sun rays seem stronger now than several decades ago. It burns through my clothing where it did not use to but perhaps it’s also age related. And I have also noticed that using Korean sunscreens versus Australian/US/European sunscreens SPF 50 – there is a difference in protection against melasma recurrence. Korean sunscreens are less protective especially in Western US states here (California) where the sun can beat down (little to no cloud cover) so I found that slathering on Australian waterproof, tinted SPF 50 helps keep it under control when I am out in the sun. Hats and sunglasses are de facto of course. I just use my Korean sunscreens indoors now since they are more like moisturizers and could afford some protection against rays that make it through my windows.

    1. Are you referring to any Australian sunscreen or a certain brand of sunscreen? If you’re talking about Australian sunscreen in general do you have one you can recommend? I’m interested in buying sunscreen outside of the USA but I’m stumped at which type is the best.🤷 Thank you šŸ™

    2. Ultaceuticals is really good! You have to order it directly from them so it takes a while to get. I love it but have switched to isdin for the time being.

    3. @Donna Allen I am trying out Australian Gold Botanical SPF 50 Tinted Face – it’s matte so need to moisturize if you have normal-dry mature skin like I do. But it seems to work decent under light makeup (blush and concealer). And for body, I have been using Blue Lizard (which I picked up at Costco). That’s a pretty industrial strength sunscreen. Both are water-proof. I think Dr Dray mentioned Australian Gold on one o her vlogs. If not, then it’s probably from another derm vlogger.

  2. It’s so grounding it is to watch your videos and find things I can control in my life/health, even with wildfires affecting the air quality where I am, etc. Thanks as always Dr Dray.

    1. Same here. I’ve been stuck inside for the better part of a week due to the wildfire smoke. 😷

    2. @helpfulnaturalSame here. Starting again. Red alert. Should let up here by Sat. Hopefully! Feel Ike Covid again, being stuck inside.

  3. Currently using the Skin Aqua moisture milk and it’s great for my oily/acne prone/sensitive skin. Thanks for all this valuable info and your transparency regarding skin of color

  4. I do like sunscreen, however, I feel a bit turned off when brands attempt to make more cosmetically elegant formulations, yet sell them in a 1 oz bottle for 20-30 dollars. It’s just such an obvious cash grab tactic, because with applying the correct amount & reapplication of sunscreen, that 1 oz of product won’t last very long

    1. Are there no 250ml bottles in the US? the European brands sell these in Mexico (Eucerin, ISDIN, La Roche, Vichy, etc)

    2. Absolutely. That is my biggest gripe with the sunscreen movement. 1.7 oz is the standard for sunscreen bottle sizes and that is TINY for the amount we’re supposed to use, even as a face sunscreen! And furthermore, content creators advertising/raving about suncreens that are $50, $60, or even sometimes $100+ for 1.7oz just drive me CRAZY. THAT IS NOT OKAY, STOP SUPPORTING IT.

    3. Sunscreens here, the common ones like Banana Boat, typically in 200ml containers (roughly 7ozs) for about US$10. The face ones are usually 88ml (about 3 ozs) for about $15 US. You are being ripped off if you can’t get these.

  5. This was so helpful and fascinating. I am sharing the link to this video with my mother. She lives in Florida and has finally started wearing sunscreen but is still a sun worshipper.

  6. Hi Dr. Dray! Would you mind doing an updated video about the best, evidence-based alternatives to retinoids for anti-aging? The most recent one I can find is about 2 years old, and I’m wondering if there have been any changes or updates, or even newer product recommendations.

  7. I think we should also address this issue: do Korean sunscreens work(well)? Dr.Dray, I’ve been doing some testing with my camera uv and all top Korean sunscreens do worse than drugstore famous brands! They leave more “transparent” black and they wear off much faster. I’d really like you talked about this topic! Greetings from Spain!

    1. There are some folks who say it’s probably best to step back from uv cameras. However, you might be interested in a video that lab muffin did using one on k-beauty sunscreen sticks.

    2. UV cameras does not indicate how much protection youre getting. It helps for ensuring an even coverage and you dont miss spot but nothing about strength of protection.

    3. I know it doesn’t indicate how much protection we get but it does say a lot about the sunscreen’s durability. For example,the skin with Beauty of Joseon after 30 minutes gets already greyish while with a Cerave sunscreen is still pitch black. After one hour the Korean sunscreen is just…gone. So, it may give you the protection it promises but it doesn’t last long. I’d love to see a video testing and comparing European and American sunscreens with Asian sun creams! 😊

    4. ​@Milusia TokHope you don’t mind me asking, but have you noticed which countries make the best sunscreen in reference to their protection? I was interested in buying a Korean sunscreen because my face is very sensitive due to my starting tretinoin recently, so I have to buy mineral sunscreen and was thinking their sunscreens were better than ours, but now I think I’ve changed my mind in that regards. Thank you and have a wonderful day šŸ™

  8. I tell my daughter to wear sunscreen all the time. I wish someone would have said that to me 60 years ago…we were using babyoil to get a deep dark tan…no one ever said anything back then. I am grateful you are educating everyone to wear it. The amount of sun damage is unbelievable. Agency and Gold Bond with Retinol cream (learned by watching you) is making a difference to the damage I’ve done.

    1. I am fair-skinned and sunburn easily, but as a child I was actually forced to sunbathe without protection. And without sunglasses… which was a nightmare to me

  9. I offer myself as an example of long term sunscreen and sun avoidance results, non-scientific. I’m 54, of East Asian descent, extremely fair skin with faint golden undertones.
    I’ve been wearing sunscreen on my face, neck, chest, and arms since I was in high school, EVERY time I had to be exposed to outside sunlight, no exceptions. I used Coppertone, but when Neutrogena came out with their Ultra Dry Touch line it became my go-to. I’ve always bought the highest SPF they put out, so it been their SPF 100 to SPF 70, depending on what was in the store at the time I was there.
    Today, I only have a couple of age spots around each of my eyes, easily hidden with a dab of concealer. I have NO age spots anywhere else on my face, neck, or chest. I also don’t have wrinkles, maybe a touch of crepeyness to my eyelids, and have only two lines that I can see, a frown line between my eyes and a marionette line at the right side corner of my mouth. (Someday I might get fillers, but meh, no biggie to me right now.) My arms have NO age spots at all.
    Absolutely, I’m bragging. 40 years of diligent sunscreen application has paid off. I look a good solid 15 years younger than my age, though some days I might wake up feeling 15 years older, lol. When I get together with friends and family, I’m the youngest looking one of my age group in pictures.
    Sunscreen usage absolutely pays off in the long haul, and in the years to get there.

    1. Didn’t know we get age spots in our 50s. Anyway, sunscreen no matter what…and “juices and berries”

    2. Genetics has everything to do with it! I grew up in the 60s when there was no SPF, I have had many skin cancers as a result. However, just now getting ā€œageā€ spots on my arms, now in my late 70s! I do use a BS Mineral sunscreen everyday. For me, skin cancers have been residual no matter how careful I am. I see my Derm often for skin checks and even she follows Dr Dray!

  10. I always hope that in my lifetime we start seeing a decline in skin cancer. I’m 60, the last year of the baby boomers and everyone I know that is in my age group has skin cancer or has had skin cancer. We’re all experts in what you say when someone is having Mohs surgery. I feel like we’ll keep seeing skin cancer for a good long time but hopefully we’re headed to a place where it’s just normal for everyone to start wearing sunscreen all the time from a very young age. I don’t see why prices of sunscreen aren’t really coming down.

  11. I took your advice to heart when you equated sunscreen use with dental hygiene. Now, I wouldn’t dream of leaving the house without a thick layer of SPF 50.

    1. Ikr?? I’d never start my day without brushing my teeth… sunscreen’s the same!ā˜®ļøšŸ’œ

    2. That’s how I feel with flossing. It’s like wiping your butt cheeks but not wiping between the crack šŸ˜‚

  12. I’d love to hear if we’ll get to use sunscreen ingredients like in Europe, Korea, etc. I hated sunscreen. It stung, felt like I was covered in lard and I never found a single US product I could endure. Finding Korean sunscreen changed everything for me. It’s so much better, it’s just mind boggling. Beauty of Joseon, Skin1004). WHY are we so far behind on this?

    1. I think you’ve got a great point! Most of my friends and family, along with myself, have found the K & J sunscreens far more comfortable to wear than the US versions. I’m so thankful we have access to their products! ā˜®ļøšŸ’œ

    2. As a European I felt the same way, our sunscreens our so uncomfortable to wear, extremely greasy and I believed that meant it protects well. When I tried Korean sunscreen for the first time I couldn’t believe how it just felt like you weren’t wearing any sunscreen but it still worked lol. I think it’s because in countries like Korea, having pale skin is the beauty standard. So it makes sense they would take sunscreen a lot more seriously compared to western countries where the beauty standard is to tan.

    3. Never could tolerate wearing it for long until I found the Japanese sunscreens. I would only use US sunscreens if I was going to the pool. Now I’m a daily wearer. Major difference.

  13. My dad, sister and both brothers have all had skin cancer. I have rosacea and wear sunscreen everyday. I haven’t had any yet. My dermatologist said my chances increase with every immediate family member who has it 😳

  14. Thank you for addressing the issue of a lack of research for those of us with dark and deep skin. It makes it really hard to listen to advice when you know you haven’t been considered or a part of the research that advice stems from. I wear sunscreen because I think it improves the texture of my skin that is regularly exposed to the sun, like my face shoulders, and top of my feet in the summer, but I have never been worried about sun related skin cancer. Anecdotally of ALL the many things Black people die it’s not one you hear about ever.

  15. As a very light skinned person in Australia I am a fantastic example of great skin and a happy dermatologist. We have had some celebrities pushing misinformation too. They are always trying to sell you something and I regard them as awful people because they are actually doing harm.

  16. Using sunscreen daily has saved my skin! It looks and feels so much better. An added bonus is not having wrinkles (granted I’m only 31). Thank you Dr. Dray! I’ve been sunscreen & subscribed for about 4-5 years now.

  17. Growing up in India the word sunscreen is unheard of. My mom rides scooter and was prescribed SS for sunburn for her hands. I now live in US. But after you and other derms here in YT emphasizing on the importance of SS has helped me this spring/summer. I get easily burnt the minute I step out in the sun, and I have brown skin. So I avoid as much as I could to be outside. I’ve started using SS regularly and I definitely see a difference. My skin (face) doesn’t turn a deep tan after stepping out. I also encourage and try to develop the habit of applying SS for my kids too. I agree that no mater the skin type, tone or color, everyone can benefit by applying SS. Thank you Dr. Drye for all the studies and facts you share. Much appreciate all that you do here!

    1. So as Asian, I am Taiwanese with yellow skin, we basically originally already have around spf 7 in our skin. The darker you are, the more spf you will originally have. I am 44, and I haven’t been focusing on sunscreen in the past. When I use foundation I did use spf based powder foundation. Most people say I look in my 33-35. Idk if they are being polite. But yes, genetics has something to do with it. And I don’t really have to be obsessive about sunscreens.
      But I did started using retinols 15 year ago. Not consistently but most of the time I did use them.

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