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COSMETIC MEDICINE




                                                                             Summer,



                                                                             sun,



                                                                             shades…



                                                                             oh, and



                                                                             don’t



                                                                             forget the



                                                                             sunscreen!





                                                                             By Pavela G. Bambekova







        A     lot has changed about the notion of beautiful skin through-  The objective of the study was to determine the systemic exposure
                                                               of sunscreen active ingredients (avobenzone, oxybenzone, octocry-
              out the years. Despite Coco Chanel’s inspiration for tanning
        in the 1920s and the craze of tanning beds in the ‘70s, the notion  lene, and ecamsule) present in commercially available sunscreen
        of beautiful skin seems to have turned 180°, and sun-blocking  products of different formulation types (cream, spray, and lotion)
        agents that help reduce wrinkles, leathery skin, and brown spots as-  under  maximal  usage  conditions.  The  authors  determined  that
        sociated with long-term sun exposure appear to be more appealing  plasma concentrations of active ingredients were greater than 0.5
        to people who appreciate skin beauty. But whether one spends time  ng/mL (the threshold limit established by the U.S. Food and Drug
        at the pool with friends or travels to the beach with family this sum-  Administration) in all four products after four applications on day
        mer, it can be easy to forget the sunscreen.           one, and three of the four active ingredients remained above the
          As the sun gets brighter and stronger, dermatologists are encour-  threshold for the duration of the study. This study left many people
        aging patients to apply sunscreen on a regular basis. May was Skin  wondering if wearing sunscreen is actually doing more harm than
        Cancer Awareness month, which serves as an annual reminder that  good. The media, which followed with headlines like “Sunscreen
        routine sunscreen use helps reduce the risk of developing skin can-  chemicals enter bloodstream at potentially unsafe levels” and “High
        cer. Applying sunscreen daily can also prevent sunburns and de-  levels of sunscreen ingredients enter blood after just a day of use”
        crease signs of skin aging, thus leaving skin to look and feel younger,  helped generate a scare among consumers.
        more radiant, and healthier.                             “It is important to keep in mind that the plasma concentration
          Despite the well-studied benefits of sunscreen, regular sunscreen  found within the study participants does not necessarily equate to a
        use has generated a lot of attention lately, especially after an article  toxic level,” says Dr. Faryal Siddiqui, a dermatology resident at UT
        by Matta et. al. was published in the May issue of JAMA. The in-  Health San Antonio. “I wouldn't want this to deter any of my pa-
                                                     1
        vestigators conducted a randomized clinical trial of 24 healthy vol-  tients from practicing good sun safety.”
        unteers who applied sunscreen four times per day for seven days.  Demonstrating that active ingredients are systemically absorbed


         24  San Antonio Medicine   •  July  2019
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