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"contents": "<span style=\"font-weight: 400;\">As warmer weather approaches and lockdown levels have eased up, the summer months are squaring up to be radically different from last year. And while South Africans may be yearning for days on the beach and in the sun, your skin is not.</span>\r\n\r\n<span style=\"font-weight: 400;\">Even if you don’t plan on laying yourself out for a tan like a chop on a Sunday braai, you still need to be wary of the sun and exposure to UV rays.</span>\r\n\r\n<span style=\"font-weight: 400;\">Ultraviolet (UV) radiation is a form of electromagnetic radiation from the sun, according to the</span><a href=\"https://www.cancer.org/cancer/cancer-causes/radiation-exposure/uv-radiation.html\"><span style=\"font-weight: 400;\"> American Cancer Society</span></a><span style=\"font-weight: 400;\">, and higher-energy UV rays are a form of ionizing radiation which can damage cells’ DNA and cause cancers. UV rays cannot penetrate deeply into the body, which means that their main effect is directly on the surface: the skin.</span>\r\n\r\n<span style=\"font-weight: 400;\">“Heat from the sun dries our skin out, and UV radiation from the sun burns our skin and causes long-term changes to the structure of our skin. These long term changes cause premature ageing of our skin in the form of pigmentation and wrinkling in the best-case scenario, and in the worst case, cause cancers — some of which can be life-threatening,” explains Dr Cara Duminy, who focuses exclusively on aesthetic and anti-ageing interventions and is the owner of</span><a href=\"https://capeaesthetics.co.za/\"> <span style=\"font-weight: 400;\">Cape Aesthetics.</span></a>\r\n\r\n<span style=\"font-weight: 400;\">There are three types of UV rays: UVA, UVB and UVC, but as the latter don’t reach the ground, UVA and UVB cause the most concern for your skin.</span>\r\n\r\n<span style=\"font-weight: 400;\">“UVA rays cause free radical damage and are able to infiltrate down to the deep layer of the skin where it damages the collagen scaffolding which makes our skin elastic,” explains Dr Vanessa Lapiner, a specialist dermatologist and the Director and founder of</span><a href=\"https://atlanticdermatologyandlaser.co.za/\"> <span style=\"font-weight: 400;\">Atlantic Dermatology and Laser.</span></a>\r\n\r\n<span style=\"font-weight: 400;\">This leads to</span><a href=\"https://www.dailymaverick.co.za/article/2019-12-14-hot-tips-how-to-protect-your-skin-against-the-suns-harmful-effects/\"> <span style=\"font-weight: 400;\">skin damage</span></a> <span style=\"font-weight: 400;\">that can cause skin ageing, pigmentation and wrinkles, says Dr Dalize Willemse, who specialises in aesthetic, anti-ageing and cosmetic medicine and works with</span><a href=\"https://www.skinrenewal.co.za/\"> <span style=\"font-weight: 400;\">Skin Renewal</span></a><span style=\"font-weight: 400;\"> in Cape Town.</span>\r\n\r\n<span style=\"font-weight: 400;\">UVB rays have slightly more energy than UVA rays and are the main cause of sunburns. UVB rays also cause DNA mutations and are thought to cause most</span><a href=\"https://www.tash360.com/2021/04/27/cheat-sheets-to-skin-cancers-3-big-bad-wolves/\"> <span style=\"font-weight: 400;\">skin cancers,</span></a><span style=\"font-weight: 400;\"> which in South Africa make up around</span><a href=\"https://theconversation.com/the-cost-of-skin-cancer-south-africa-is-spending-more-than-it-should-57445\"> <span style=\"font-weight: 400;\">30% of cancer cases.</span></a>\r\n\r\n<span style=\"font-weight: 400;\">“A sunburn is a warning that you have exposed your skin to enough UV to cause DNA damage putting you at a greater risk for skin cancer,” says Lapiner.</span>\r\n\r\n<b>A scorching South African summer</b>\r\n\r\n<span style=\"font-weight: 400;\">“In South Africa, particularly in the summer, our dose of UV is so high that even short incidental exposures, like walking from your car to the shop or chatting to a friend in the school car park, add up to huge lifetime UV doses,” Lapiner explains.</span>\r\n<blockquote><span style=\"font-weight: 400;\">“A healthy tan is one that comes out of a bottle.”</span></blockquote>\r\n<span style=\"font-weight: 400;\">“A broad spectrum formulation of at least SPF 30, preferably 50, is vital living in a</span><a href=\"https://sawx.co.za/uv-index-south-africa/\"> <span style=\"font-weight: 400;\">country like South Africa</span></a><span style=\"font-weight: 400;\"> with the amount of UV exposure we get,” says Duminy.</span>\r\n\r\n<span style=\"font-weight: 400;\">“If there was something you could rub on your skin to prevent cancer, would you use it? Well, the fact is that there is, and sunscreen it is! Beyond the perceived vanity of wanting to age well, skin cancers are real and they are common in South Africa, and sunscreen does help to prevent them. A healthy tan is one that comes out of a bottle.” </span>\r\n\r\n<b>How to protect your skin</b>\r\n\r\n<span style=\"font-weight: 400;\">“If you’re not going to protect the skin from UV then you’re wasting money on any other single aspect of your skincare regimen,” says Lapiner, who explains that applying SPF is “the single most important step” to</span><a href=\"https://www.dailymaverick.co.za/article/2020-08-26-the-new-routine-you-should-follow-taking-care-of-your-skin/\"> <span style=\"font-weight: 400;\">taking care</span></a><span style=\"font-weight: 400;\"> of the skin.</span>\r\n\r\n<span style=\"font-weight: 400;\">In fact, Willemse recommends making applying sunscreen a part of your</span><a href=\"https://www.dailymaverick.co.za/article/2019-06-21-decoding-the-science-behind-skincare-ingredients/\"> <span style=\"font-weight: 400;\">daily routine</span></a><span style=\"font-weight: 400;\"> with the same dedication “as you would any other chronic medication”.</span>\r\n\r\n<span style=\"font-weight: 400;\">“The skin is the largest organ after all, thus it should be treated with the same respect we do other organs. It is important to remember to use a broad-spectrum sunscreen, even in winter months,” she says.</span>\r\n\r\n<span style=\"font-weight: 400;\">“Sunscreen is always going to be my number one choice. If you’re not using sunscreen every day, rain or shine, winter or summer, indoors or out… you may as well not bother,” says Duminy.</span>\r\n\r\n<span style=\"font-weight: 400;\">Sun protection factor, or SPF, is a measure of how well sunscreen protects against dangerous rays, says dermatologist Dr Lawrence E. Gibson</span><a href=\"https://www.mayoclinic.org/healthy-lifestyle/adult-health/in-depth/best-sunscreen/art-20045110\"> <span style=\"font-weight: 400;\">for the Mayo Clinic.</span></a>\r\n\r\n<span style=\"font-weight: 400;\">“Manufacturers calculate SPF based on how long it takes to sunburn skin treated with the sunscreen as compared to skin with no sunscreen,” Gibson says. This means that with an</span><a href=\"https://www.skincancer.org/blog/ask-the-expert-does-a-high-spf-protect-my-skin-better/\"> <span style=\"font-weight: 400;\">SPF 30 sunscreen, for example,</span></a> <span style=\"font-weight: 400;\">it would take you thirty times longer to burn than if you weren’t wearing sunscreen at all — provided you use it correctly and use the recommended amount.</span>\r\n\r\n<span style=\"font-weight: 400;\">Lapiner, Willemse and Duminy also all recommended including antioxidants in your skincare, alongside the SPF.</span>\r\n\r\n<span style=\"font-weight: 400;\">These antioxidants include Vitamin C, Vitamin E, Ferulic acid, green tea, pomegranate seed oil and more, Lapiner says.</span>\r\n\r\n<span style=\"font-weight: 400;\">“Adding an antioxidant into the mix is the next best thing, particularly in summer when oxidative damage is heightened by outdoor living,” Duminy explains, as “upping your antioxidant game makes a huge difference to your skin’s resilience to sun damage”. </span>\r\n\r\n<span style=\"font-weight: 400;\">As Nicole Williamson </span><a href=\"https://www.dailymaverick.co.za/article/2019-12-14-hot-tips-how-to-protect-your-skin-against-the-suns-harmful-effects/\"><span style=\"font-weight: 400;\">wrote for </span><i><span style=\"font-weight: 400;\">Maverick Life</span></i></a><span style=\"font-weight: 400;\">, “Including antioxidants, either topically or orally, into your daily skincare routine can help minimise and protect against sun damage. Look for skincare ingredients that contain antioxidants such as vitamin C, vitamin E, vitamin A and ferulic acid, to name a few. These ingredients can be found in serums and moisturisers.</span>\r\n\r\n<span style=\"font-weight: 400;\">“Antioxidants can also be ingested orally in the form of tablets and powders that are available at selected health and wellness shops, and are also found in some superfoods such as blueberries, goji berries and pecan nuts.”</span>\r\n\r\n<b>Take your summer skincare to the next level</b>\r\n\r\n<span style=\"font-weight: 400;\">Summer and the outdoors often go hand-in-hand, and both the heat of the sun on the skin and sweating can dehydrate your skin.</span>\r\n\r\n<span style=\"font-weight: 400;\">“This is complicated by the fact that our oils glands are stimulated to produce more oil which contributes to breakouts, making summer skincare a little more challenging,” Lapiner says.</span>\r\n\r\n<span style=\"font-weight: 400;\">All hope is not lost, however, and there are a few steps to treat your skin the best in the warmer weather.</span>\r\n\r\n<b>Cleanse</b>\r\n\r\n<span style=\"font-weight: 400;\">Firstly, invest in a good cleanser or micellar water to really clear out your pores and wash off the oils (especially from the sunscreens you are now so religiously applying).</span>\r\n\r\n<span style=\"font-weight: 400;\">“Cleansing your skin properly at night after a day of sunscreen, saltwater or makeup is essential — it can make a huge difference to your skin’s clarity and undo a number of sins,” says Duminy.</span>\r\n\r\n<span style=\"font-weight: 400;\">“If you put water on your skin after the two cleanses and you can still see that it forms little droplets, it means that there is still oil on the skin and it hasn’t done a good enough job,” warns Lapiner.</span>\r\n\r\n<b>Moisturise</b>\r\n\r\n<span style=\"font-weight: 400;\">“I prefer moisturisers which contain ceramides, squalene and free fatty acids to maintain and defend the skin barrier without being too greasy,” says Lapiner.</span>\r\n\r\n<span style=\"font-weight: 400;\">“If you have an oilier skin or break out in summer then look for a water-based, gel-based and lightweight formulation,” she says, and recommends hyaluronic acid-based serums “which draw water into the skin” and glycerin.</span>\r\n\r\n<span style=\"font-weight: 400;\">And what about those moisturisers that contain SPF already?</span>\r\n\r\n<span style=\"font-weight: 400;\">While you can’t go wrong with more SPF, dermatologists warn against letting moisturisers with SPF replace sunblock.</span>\r\n\r\n<span style=\"font-weight: 400;\">“Often the SPF is too low (SPF 15-20) and also because these are mostly expensive products, people do not apply them in the required amount, which means that they are getting a much lower SPF,” says Lapiner.</span>\r\n\r\n<span style=\"font-weight: 400;\">Sunscreen should also be re-applied during the day, Willemse says, and therefore applying an SPF moisturiser once in the morning is not going to be effective as you go through your day.</span>\r\n\r\n<span style=\"font-weight: 400;\">“A separate sunscreen also has more filters, thus would have better, broader spectrum protection. We would advise our clients to use a broad-spectrum sunscreen even if their moisturiser has an SPF value,” she says.</span>\r\n\r\n<span style=\"font-weight: 400;\">Instead, Duminy recommends layering your sunscreens. “Use a dedicated sunscreen first (under your make up and over your moisturiser) and then follow that up with a combination product like a tinted moisturiser or a foundation with some SPF,” she explains, adding that if you don’t wear a lot of makeup, a tinted SPF can also do the trick, and also evens out skin tone.</span>\r\n\r\n<b>Don’t overdo exfoliation</b>\r\n\r\n<span style=\"font-weight: 400;\">Lapiner also recommends being wary of chemical exfoliation and avoiding physical exfoliation altogether in hot periods. “Exfoliation can make the skin more sun-sensitive, so either use an ultra-gentle exfoliant or keep out of the sun for five days following a deeper peeling,” she says.</span>\r\n\r\n<b>How to treat the dreaded burns</b>\r\n\r\n<span style=\"font-weight: 400;\">While “prevention is always better than cure”, as Willemse says, there are a few ways to take care of your skin if you do burn.</span>\r\n\r\n<span style=\"font-weight: 400;\">Cool showers, aloe vera gel and anti-inflammatories can help treat burned skin, and staying out of the sun until the skin has healed is important, says Lapiner.</span>\r\n\r\n<span style=\"font-weight: 400;\">To make sure your skin heals the best, she also warns against popping blisters or picking at your peeling skin (no matter how satisfying it may be.)</span>\r\n\r\n<span style=\"font-weight: 400;\">“At the end of the day I have yet to find a single person who wishes they had sunbathed more in their youth, or who wishes they had used less sun protection. What you do now will show on your skin in 20 years time, and we know much more about the effects of the sun on skin than we did 20 years ago — when we know better we should do better, so do better and use sunscreen,” Duminy says. </span><b>DM/ML</b>\r\n\r\n[hearken id=\"daily-maverick/8832\"]",
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