Sun Damage

What will I see on my skin?
How can I prevent sun damage?
What treatment will I need if I have sun damage?
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How does sun damage happen?

Throughout our lives, from childhood onwards, our skin is exposed to sunlight. Sunbathing or holidaying in hot countries causes large amounts of damage to our skin. But even walking around outside in summer causes more gradual damage. Over the years the sun damage builds up and from mid-life onwards the effects are clearly visible.

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What will I see on my skin?

Sun damage causes wrinkles around the eyes, face and neck, and flat brown spots and freckling on the back of your hands, your arms and on your chest. When the damage becomes worse, crusty patches develop on the surface of the skin, and these may be difficult to heal. The skin often becomes very red and bruises easily. Skin cancers such as rodent ulcers (basal cell cancers) can develop. Any areas of skin which look unusual or develop ulcers and will not heal should be shown to your doctor.
Check your moles regularly; ask a friend or partner to check the ones on your back. Moles which are changing into melanomas (a type of skin cancer common even in young people) will usually grow in size, become irregular in shape, become itchy, change colour, or bleed. If you notice any of these things happening to any of your moles, see your doctor immediately. People with lots of moles or pale skin are most at risk of melanomas.
The areas most likely to be affected by sun damage are your face, your ears, the backs of your hands, and the lower part of the legs in women. However, people who have sunbathed extensively throughout the course of their lives may get sun damage and skin cancers on any part of their body. People who work out of doors, eg farmers, gardeners and outdoor labourers are particularly at risk, as are people with pale skin and blonde or red hair.

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How can I prevent sun damage?

Prevention begins in childhood. Babies and toddlers should be kept out of the sun - use a sun umbrella over the pram or pushchair when out walking on sunny days. Make sure that children wear T-shirts and hats when playing outside in the summer months, even when paddling and swimming.
Adults and children should use a high factor sun protection cream on all exposed skin when outside during the summer months. Reapply the sun cream after swimming. Try to stay out of the sun between 10am and 2pm each day when the sun is at its most damaging. Wear a wide brimmed hat to protect your face and neck.

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What treatment will I need if I have sun damage?

Once you have sun damage, it is not possible to repair your skin completely. However, you must start to use total sunblock on all exposed skin when you are outside. This will prevent further sun damage and help prevent skin cancers from developing.
If you develop any unusual areas on your skin, see your doctor. If your doctor thinks this might be skin cancer, he or she will arrange for the piece of the skin to be removed and examined under the microscope. About two weeks later your doctor will be able to give you the results and tell you if you need further treatment.
Crusty patches or flat brown areas of sun damage which are getting bigger, will usually be treated by spraying them with liquid nitrogen. This makes the skin blister, and heal with a white scar.
Some skin cancers can be treated with radiotherapy, especially if they are in a place where it would be difficult to cut them out. Whichever treatment is used, you will need to have your skin checked regularly. Tell your doctor immediately if you develop any other unusual areas on your skin between appointments.
Most skin cancers do not spread to other parts of the body, so they can be treated just by removing them. However, if you have had one, you are more likely to develop others - watch your skin carefully.

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