Thu, 7/1 4:14PM • 56:15


skin, sunscreen, uva, skin cancer, spf, melanoma, uvb, sunblock, sunspots, bit, sun, talk, lesions, call, big, aging, people, product, nice, zinc

Welcome to anti aging unraveled with Dr. Lori Gerber. The body is one of the most complicated systems in the universe. Dr. Gruber and her guests explore integrative medicine and cosmetic dermatology, combining traditional medicine, alternative health practices, new innovations and technology which worked together to help you look and feel natural and age gracefully. Now, here’s your host, Dr. Lori Gerber.


Hey, good evening, everybody, and welcome to another night. Wednesday Night. It is not raining, I’m happy to report at six o’clock eastern standard time. So this is anti aging unraveled. And I have a little bit of a different topic at request from some people in my office and around me. I did give a lecture on this quite some time ago on to the resident on aging skin sun exposure. And kind of what you’re looking for what we call lesions on the skin what’s bad, what’s good. And what is the difference in the sunscreens? I think that’s a massive question that people ask me all the time. So we’re going to start off talking about sun safety, and why it’s important. And I think in all honesty, all of us probably would say that we like to get a little bit of sun right, we like the warmth with it makes us feel good. It’s good for our brain, it’s good for our vitamin D levels, but our skin unfortunately, if you’re in my industry does not like it so much. And for the most part, what you’re going to find is that prolonged sun exposure ages the skin pretty dramatically, and it has a higher risk of different types of skin cancers, which we’re going to talk about how to identify those. And this is probably a really good one to go on to my website or on to Voice of America to actually actually gonna have to go my website or on to one of my podcast channels because what I’ll do is I’ll post along with it, some photos and some video of some of the different lesions so you can see what they look like. But I will do my best to describe it as well. But you know, no matter what time of year, protecting our sun or skin from the sun is important, you know that we’ve learned more recently to put on makeup with sunblock and sunscreens under our makeup and that kind of thing. But in all honesty, that wasn’t always the case. And I remember growing up that my parents were very good about trying to put it on me. But I know my mom, for sure I definitely remember the the the oil and when I was really little and the reflectors, and even when she was little getting sunburned on a chronic chronic basis. So, you know, why is it important and I think the amount of skin cancer has gone up so dramatically that i think that you know there’s there’s cause for concern and why the sun protection is so important because the UV rays coming through are so much stronger than they used to be. So we do get this leathery skin you get these fine lines and wrinkles. I like to call them roadmaps but they’re really just these lines that kind of weave in and out of the skin that really are what we call solar elastosis because we lose the elasticity of the skin, which is not a good thing. elastic tissue is what keeps us young. It’s what keeps our skin up and intact. And I know none of you want to say that your skin is hanging in very dry from the sun. So, of course we have that skin texture we also have color so it can either actually over darken or create what we call melanin burnout where you get these white spots as well. The skin. Another thing that can happen is you can get dark spots or sunspots. So we’re going to talk about how to differentiate some of these spots. But you know skin cancer, according to the CDC, there will be 106,110 new cases of melanoma in 2021 and 771 80 deaths from melanoma. So, when we talk about melanoma, obviously, this is the most dangerous type of skin cancer. And it spreads most rapidly internally. So we’re going to really stress how to find one of those on yourself. If you can, it’s because sometimes, believe it or not, they don’t have any color. And that can be a problem. But you know, skin cancer is the most common form of cancer in the United States. So if you think about it that way, really, we should be doing our due diligence, putting on our sunblock, getting our skin checks, making sure we’re looking at our own skin on a regular basis. So there is a really big need for I think the understanding of some blocks as well. And that, to me is a critical part of this conversation. So again, we’re gonna get into that in a minute. But I think what we’ll start talking about, and I hope this is a good what I would call timeline for you guys, we’re gonna talk about what a mall is, and what a good mall is, versus bad mall. And in medicine, we call them nevus, or nevi. And it’s a it’s kind of a funny word, but if I use it just know I’m talking about a mall, I’m gonna try to make this really simple. But a nevus or a mole can usually it should appear within the first two decades of your life. So when we talk about birthmarks, you know, you’re born with some and then you will do acquire some over your first 2020 something years. That’s normal, okay. And of course, we’re going to get some after those 20 something years, and those are the ones that we want to really look at and try to identify. So you know, you can get sunspots after that time, which are really usually flat,


relatively uniform on color, medium brown, and they don’t look raised or black, okay. And they usually pretty, they stay the same, they can get a little bit larger as the sun exposes them. But they usually stay pretty, pretty stable. They don’t raise up, they don’t believe they don’t edge, they may scale. And that is normal as well, because they’re pretty superficial on the on the top edge. But the melanin pigment pigment does go deeper down. So you know, if you get something in your 30s, I think that’s something that you might want to say, Alright, you know, what am I doing here? What am I looking at. And that’s when you really want to get an idea of what I’m talking about. The other thing is pregnancy and puberty and menopause can also bring on different moles and different changes. So again, hormone changes in hormone fluctuations can do this. And there are critical times in your life where you really want to look at these things and say, all right, again, what am I looking at? Does this look normal? Or do I need to have this checked out? So let’s talk about melanoma. So melanoma is the most dangerous type, it is a leading cause of all skins get skin cancer related deaths. So meaning there’s two other kinds of skin cancer that are out there, and they do not spread as quickly. And it spreads into the lymphatic system in the bloodstream and basically can kind of metastasize very relatively rapidly. So what are we looking for? Well, we like to call it the ABC is right, so ABC DS, and we try to make it easy a is really a symmetry the border should not be perfectly symmetrical. Again, these are generalizations so you know, obviously there’s outside the box here are things that don’t follow the rules. But generally speaking, they’re going to look like rippled. They’re not going to look symmetrical. Your borders by the same token, so I always say you shouldn’t be able to fold it in half and make it look the same. And your borders should look irregular. Not like a perfect doily or anything but almost like a jagged doily, like you ripped edges off. The The other thing is circumference. So you know when we when we are color, rather, we should talk about color, because I think color is probably the most important part of this. And color is if it’s black, or has black portions. So if it looked medium brown for a long time, then all of a sudden it has a big it or a raised black mark, that’s a change, you know, that’s something or maybe became a little asymmetrical, and then it got this nice dark black spot in it. Again, that’s a change, we want to take notice of that and get that one checked out. And when I say get it checked out, go to your dermatologist and probably have a biopsy to see what this is. You know, that might be an early sign of melanoma where it just starts to change into what we call an atypical cells before it’s formed melanoma, the last thing is that the diameter, so we always say bigger than a pencil eraser, which is approximately six millimeters. And you know, if you think about that it’s a relatively sizable spot. Again, these are generalizations so if you have any one of the four of these things, or maybe even two of the four of these things or it changes rapidly and you look Like, this is not what I used to have here, that’s really a sign that you know, you want to get it taken care of and checked out. And I think the most important part to that whole thing is change. Right? It’s, it’s almost like it’s not a static color. It’s not a static shape. It’s not a static, with its borders or diameter. Alright, so, again, melanomas need to be excised, there’s no ifs, ands or buts about it, they need to be taken off and expect a pretty big and what we call scar or line because it does need very large borders. So when we do take these off, we do leave quite a bit, we take quite a bit of good tissue around it in the off chance that it was spread beyond the actual border of the lesion. Okay. How do you know the difference between what we would call a solar lentigo which is just a brown spot from the sun and melanoma? Well, in all honesty, it’s tough, right? So a solar lentigo in itself is usually relatively uniform in color. It does have irregular borders at times, but can be pretty symmetrical. I think for when you talk about sunspots turning into melanoma, which can happen you want to look for change, you want to look for those dark spots, those black spots, those raised edges. And that to me is it is a warning sign or a red flag that you need to kind of get this taken care of. So melanoma, we’re talking about ABC disease, and you should be getting a skin check every year. Remember, you know, the lighter You are the redder your hair, the less melanin pigment, which means that the lighter your skin tone is family history of melanoma.


Or if you have a ton of moles, the chances are that you’re going to have a higher risk of melanoma long term. You know, when you have when you’re covered in malls, and you’re let’s just say your family history of melanoma, the chances of one of those turning into what we call a typical cells in the melanoma is higher than somebody else. The other thing is a weakened immune system. And I think a lot of times this goes under I guess under stated, when your immune system, your immune system is meant to basically troll your body looking for things that are not correct. And when your immune system isn’t appropriate, and it’s maybe autoimmune or weakened, maybe you’re on steroids long term, maybe you have inflammatory bowel disease, I think there’s reason to suspect and we have the evidence at this point, that there’s a higher risk of melanoma and those patients. And if you think about it, you know, we know that that’s the case, too, with chemo patients as well that they are more higher risk for other types of skin cancers. So when you can’t control the amount of growth that’s going on in the body, because your immune system is a little bit off than these melanomas contend to grow. So, you know, I think that’s something to keep in the back of your head. And that’s reason to really understand this whole sunblock story. Because the more you sun protect, the less exposure you have, the better off you’re going to be. So when we go through this, I am going to talk about ways to get on the different sunblocks. And actually things that you can do for some of these non cancerous lesions. So when we kind of go towards the end, I hope to be able to answer some of that for you. Feel free to shoot me a message in either Instagram or Facebook, if you have questions during the show, and also if you have questions after the show about what you should be using or you know, if you need something like even like something quick looked at. I’m okay with that, you know, if I, if I want you to come in or if I think it’s dangerous, I’ll definitely be sending you out to dermatology. So to get it taken off, because unfortunately, I don’t do that. So I can’t send it out for pathology for you guys. So I can’t take them off for you, unfortunately. But I can definitely tell you if it looks suspicious. Now I’m going to give you a I had mentioned that melanomas can have no color. So I have seen what we call a melon notic melanomas and not to scare anybody. But again, if you have a lesion that changes that raises up that maybe wasn’t there in your 20s and is new, that’s something that you probably want to get looked at. And those are the type of lesions that we sometimes can’t predict those non colored melanomas. So it’s always worth either having the dermatologist, take a piece and send it out, or at least having them put eyes on it. So you know, and the other thing I didn’t mention is the higher risk from tanning beds and blistering sunburn. So, you know, we’re going to talk I’m going to talk a little bit more about tanning beds because I think that that’s an important topic. And a lot of people are doing spray tans these days and it has become more popular. But the more exposure you have, remember, the more the higher chances you have of skin cancer and of sun damage to your skin would to look to look older, blistering sunburns are a big one. Most of the sun damage when you’re older is from when you were a child. So it takes that long to come out.


You know, even though people that are what we call weekend Tanner’s, and it’s short bursts of long exposure are at much higher risk for melanoma. So they might not be outside every day. But they’re definitely getting these long burst these eight to 10 hours a day, on a weekend just to get a good tan. And that puts you at a higher risk as well. So, and of course, geography, you know, living in an area that has much more sun puts you at higher risk. And Florida, Hawaii, Australia, so anywhere that has longer periods of sun exposure. So I think let’s talk about indoor tanning for a second. There’s a lot of myths, misconceptions. And, again, I’m not trying to put any indoor tanning places out of business, I just feel that there’s some details that people need to understand for tanning. And, you know, the tanning industry likes to kind of put out some of these, I would say, misconceptions or miss facts. And the first myth is that tanning beds use UVA rays and UVA rays are safe. Well, UVA rays are not safe, they can still cause melanoma and skin cancer and they’re the aging rays, they’re the ones that literally aid you the most. So if we’re talking about sun damage, and getting leathery skin and, and all of that, you’re going to definitely have a much higher chance of that with tanning beds. And, you know, the other one that I love is that you’re only going to have a risk of the tanning bed if you’re if you’re burning if you’re gonna burn the tanning bed. And that’s not true. Even if you get a tan. It does age your skin, right. So you can still get cancer, you can still get the other type of cancers we’re going to talk about. And you can still get sun damage, photo aging. So I know we all like to have a little color, but there really isn’t such a thing as a healthy tan. So, you know, I don’t know who has taken advantage of some of these new trends and bathing suits in the market right now. But it’s a great idea to keep covered up which we’re going to talk about. So, you know, when we talk about tanning, even if your immune system doesn’t work as well, like we talked about, it can leave you more likely to develop a skin cancer. So I would suggest that before you go to a tanning booth, you understand those myths, and you use them in a way that is safe and and understand what you’re putting yourself at risk for. So let’s talk a little bit about the other types of skin cancers and and then we’ll talk more about


sunscreen and what we can do for sunspots. I actually just got a question that what can you do if you have a lot of freckles and sunspots on Facebook? And I will get to that in one minute, or actually maybe closer to 10 minutes. So keep listening, I will get to that answer. So let’s talk really about the other types of skin cancers because I think there’s a an important fact to understand that if your family is prone to skin cancers and your light skinned and your fair and your redhead, chances are you’re going to get something pre cancers are called what we call actinic keratosis. And that’s a big word for these little scaly spots on your skin that don’t go away. And you’ll also get a lot of these little blood vessels and and those little blood vessels are sun damage. And then the little scaly top over top of it is what we call actinic keratosis, we freeze these off, we peel these off, we laser these off. Sometimes we use a little like a chemo cream to get these off. So when they’re early like this, for the most part, they’re superficial, and we can get them off with superficial methods. Once they’re sitting around for a long period of time. That’s when they become a little bit more dangerous. And those pre cancers those actinic keratosis can become what we call squamous cell carcinoma, which I think a lot of us are familiar with. Seeing our grandparents with all these little, maybe like honey crusted little spots on their skin, usually nose ears, it almost looks like their skin is peeling, or they have a scab, they’re these scabs and that don’t go away are called squamous cell and squamous cell skin cancer is I like to call it like scabby crusty honey honey collar they’re usually look like they picked up their face, but they just don’t go away. They never heal and then when they don’t heal, they get larger. Very common again in that fair skinned population. So again, that Irish fair usually light hair but I mean my family it gets a ton of them dark haired, and like I said, starts in Sun exposed areas. So usually forearms, nose, ear tips, top of the lip or mouth, and it just doesn’t stop bleeding and crusting. It almost looks like you have like a bug bite or a kite or an excellent patch. It just doesn’t get better. Scream muscles can spread, if they’re if they’re let left to their own devices long enough, or if it happens to be an aggressive form of squaring muscle, they can end up in the body. And that is something that you want to obviously address. And they can be pretty unsightly, they, they’re very destructive to the skin tissue. So they can actually eat away at the at the skin pretty good, and leave you looking pretty deformed. So what I do suggest, as you’re getting them, once you’ve done gotten some of the maybe early cancers off, if you get ones that are coming back that are going away, that’s ones that have actually turned to become a squamous cell. And those are the ones that you actually want to get scooped off and sent out for biopsy. And then they’ll they’ll usually just do, they’ll just do see if it comes back or sometimes on the face, they’ll do what we call a chemo cream to get rid of some of the rest of what’s left. It just depends on the borders. So that’s a yes, it can be aggressive, but it’s a relatively treatable skin cancer that can be treated pretty easily. And then we can talk about what I call the pearly papule. And that is basal cell carcinoma. So Alright, guys, I think that basal cell is probably one of the hardest ones to identify if you’ve never had one on your body. If you’ve had one, once you have a basal cell, generally speaking, you can recognize another basal cell. And basil cells are funny, they start off as like almost like a pimple that doesn’t go away. So it’s like a little bump, and that little bump is flashing not really red, not really conspicuous. And it likes again, the head, the neck, the hands and shoulders. Sometimes it likes unexposed areas as well.


It’s common in Farid skin people, they grow pretty slowly. So when you have a pimple there for a while, or this bump that’s not going away. And you’re like, Huh, why is this not going away, and then you look at it, it gets a little bit bigger and a little bit bigger. And then it turns kind of like a pinkish, it usually grows a little bit of a blood vessel or vasculature in it. That’s the key that that is a basil. So the other thing they sometimes do is they start to bleed a little bit. And you’ll get a little blood spot and like oh my Alright, they itch. And they’re like, why is this itching? And why is this bleeding? I would say more commonly, like I said, it’s described as a pearly pink or fleshy papule. And it looks very conspicuous. But it just never goes away. Again, after your 20s, maybe early 30s, it start the start to appear, they do tend to run in family lines, again, based on you know what kind of autoimmune stuff is going on how light their skin is, how much sun exposure and where they live, all these things do play a role. But they’re a little harder to identify until you’ve had one yourself. So these need to be cut out a little bit differently. And generally speaking, we like to, you know, do a biopsy and then actually get clear borders. And usually when we do that we do what’s called a Moe’s procedure. And that is where we take the we take you back into like a mini o r of sorts. And we cut out a spot on top of that lesion. And we make sure we have clean borders before you leave. If there’s an edge, that’s not clear, then we keep going. And, you know, obviously that can be a little difficult at times with skin cancer because you can have more spots that have cancer on them as well around that spot. So sometimes, this VOD is bigger than the actual Legion, which is why it’s really important to do it that way. So that you can make sure that you’ve gotten the entire thing and get clear borders, and then they close you up while you’re there before you leave. So I think that if you’re if you have a question on something that’s been on your skin for a while, at that point, you want someone to take a look at especially if you’re in your 30s or 40s or 50s or 60s or older. Again, new lesions at that point in your life should not really happen or they shouldn’t change.


That should pretty much help you with the skin cancer world. And, you know, skin cancer per se, like I said is near 30s. But the aging race, I would say starts a lot earlier. And you know, we really have to start thinking about it. When we start getting these little freckles. These solar we call solar lentigines or lentigos. And they’re just hard liver spots are another word. And they are unsightly at times and some people just like them. The other thing that happens is you can get that rough, uneven leathery skin tone. And I think what people miss the most is the blotchiness of the skin tone and the capillary formation. So those little red blood vessels that you get kind of on the nose, and then cheeks and maybe when the skin starts to look red, yes, you can get rosacea. Yes, it can be hormonal, but it can also be from sun exposure. There are other things Also sun exposure can cause the skin cells to stick together. And you can actually get what we call milia, or little cysts all over the skin. So there’s a lot of ways that we can treat that. And I will get to that in a minute for my person that emailed or messaged in. But I think, how do we protect ourselves from the sun? And I think there was, at least when I was growing up, there was a lot of confusion on this. It’s gotten better over the years, as the FDA did put out some guidelines for labeling sunblocks, which was always a problem. But I never understood why there was a difference between sunblock and sunscreen. And there is a difference. They work differently. And I think it’s important to understand that so that you know what you’re doing to protect your own skin. So in order to understand that, let’s kind of go backwards, what is SPF and its sun protection factor? Well, what does that mean? I mean, people are buying some SBS 100. Right. SPF is literally a range of numbers for the ability of the sunblock to block out the burning race. So it literally is the it’s based on the time it takes you to burn on your skin. So for example, an SPF of two, if you’re out in the sun for 10 minutes, it extends it to burn time and a burn in 10 minutes, it would extend it to a burn time of 20 minutes. And SPF of four, you multiply that 10 minutes on burn, it takes 40 minutes to burn 15 instead of 10 minutes to burn, it takes 115 minutes to work. So it has nothing to do with aging, right. So that’s a little bit of a, I guess a problem with SPF because it’s really not telling you anything about aging rays, it’s only talking about burning rates. And we’re going to talk about the difference in the two of them. And really what that means. But so SPF literally is burning rays, which is generally speaking UVB protection. Okay, so we’re going to delve into that a little bit deeper. But you know, the sunscreens go from like two to, like I said at 100. And really, you get to a point where you have to reapply it anyway, because it’s not going to work as well. So, at two hours, if you’re reapplying it, right, that’s 120 minutes, it really makes no difference. Pass really an SPF of 15. You know, if you can say an SPF of 30. Okay, fine, but there’s really no benefit to an SPF ad SPF of 60 SPF of 100. Other than it’s just a marketing ploy. So again, if you’re already at 100, and 120 minutes, or 115 minutes, where’s the benefit after that, because you really should be reapplying anyway. So all sunscreens,


sunscreen is literally absorbing the light, sunblock is reflecting the light, okay, that’s the difference between the two. And unfortunately, when they did change the labeling, and we’re gonna, we’ll go into that a little bit more when they change the labeling and 2011 the FDA didn’t really, they said everything had to be called a sunscreen. And now, they they did say that it had to have the SPF on there. And it had to say whether it was broad spectrum or not, which broad spectrum means that it protects you against UVB, and UVA, which literally means UVA, I always think a is aging raise is between 320 and 400 nanometers of light. So if you look at the light spectrum, if you just think that 80 points is your UVA rays. Now, if you go down on that spectrum, to the UVB radiation, that’s 290 to 320. Okay, so if it gets you some of both of those, it doesn’t have to have to have have to have the whole thing it can have part of it. If it has some UVB and UVA, then it’s going to be called broad spectrum sunscreen. if it has an SPF of 15 or higher, we think that’s sufficient. So again, it should say broad spectrum and SPF of 15 or higher. And the other restrictions were on waterproof versus water resistant. And that was a big one because almost all the sun’s rays and some blocks when I was a kid said waterproof. And now they cannot say waterproof, they can say water resistant and the time of water resistance. So meaning needs to be reply within 40 minutes needs to be replied within 18 minutes. That’s huge, because when we were kids even put it on once and that was it, and you would buy whatever brand, you know, was the best marketing that you liked, and there wasn’t any we would call broad spectrum labeling. And, you know, we would use things for the most part in the early 90s that were all just UVB and they didn’t have any UVA protection. So what does that mean? It means that that you know that generation of people. Since UVA is a much longer wavelength, it penetrates deeper in the skin and ages the skin more than UVB does. But UVB burns. So we can physically see the difference with our sunblocks. Because we weren’t burning, but we weren’t really getting full coverage. So you know, now with some of the broad spectrum sun screens and some blogs that we’re going to talk about, you’ll see that we’re getting better coverage. But we’re also the United States is very far behind on getting these approved. And unfortunately, you know, we still have a lot of labeling out there, that’s, that’s not FDA approved as well. Most of them are on I would say like wipes towelettes. There are body washes and shampoos that are actually marketed as sunscreens that that are not FDA approved. Why? Because they only approve basically the cream and the spray forms, because the rest of them have not shown sufficient some protection. So again, you’re looking for broad spectrum, you’re looking for water resistant on the label, you’re looking for SPF 15 or higher. And we’re going to talk about how to pick out a broad spectrum sunscreen or sunblock. Because, again, the United States is so far behind on this. And there is a corner on the market with one company. So there’s really only one company that has access to one of the chemicals, that’s probably one of the best extenders of the spectrum and for longevity on the market. So we’re going to talk about that in a second.


Let’s really quickly talk about the spectrum. Again, UVA is your aging rays. UVB is your what we would call your burning rays. Most of our UVA sunblocks are what we would call reflectors. So that means it’s taking the light and it’s reflecting it off of your skin. So titanium dioxide, zinc oxide, Eva Ben zone, which is also known as parasol 1789. And emcamsule, emcamsule is an ingredient that we’re going to talk a lot about, which is, unfortunately, there’s a corner on the market, like I said, somebody owns that the rights to mixer on the United States. And it’s only in basically one product line in the United States. So we’re gonna go into that a little bit, but they are the ones that are going to keep you from aging the most. And they’re really going to get you that 320 to 400. That other end of the spectrum that those UVB sunscreens don’t get. And there’s oxybenzone, which is probably the most common chemical, UVB sun screen absorber. It’s, and there’s a ton of other chemicals out there, but they really only absorb what we would call 290 to 320. Actually, it’s a little less than 320. So there’s a little gap in the spectrum that’s not being protected, for the most part by the sun blocks that are on the market. And that little spot, the best product to get that spot really is that mix oral, which is in emcamsule. And that ingredient is really only found in the United States in one product, which is why I honestly don’t carry at least on my on my website, as sunscreen or sunblock other than attended moisturizer with zinc and titanium. And it’s because mix oral or on e, which is its regular name is was put through the FDA by L’Oreal. And it was the only company because the FDA, literally sunblocks are considered a drug, not a cosmetic product. So what happens is it takes a long time to get it put through and it’s a lot of money. So no one really took the time or the energy to put most of the products that are overseas through the FDA to get into our sunblocks and L’Oreal did. They got mixed oral approved, it’s a very photo stable so when it’s in the skin, it’s you’re not really worried about it breaking down turning into other compounds. And that’s really important because there is a lot of discussion right now on whether or not some of the sunscreens are safe. And it really gets the the UVA the whole spectrum without having kind of some of the negative side effects or negative connotation of the titanium and the zinc, which tends to be a little bit greasy, a little bit white a little bit thick at times. So but it only gets those UVA is right, so it still needs to be used with those UVB filters, which are sunscreens. So you’ll see that there’s a product called anthealios. And there’s a lot of them on the market. There’s a couple different types, but they all have mixed oral or in emcamsule and that is going to make it a very stable UVA sunblock. And you can only get it in L’Oreal’s LaRoche Pose, . anthelios again, I get nothing from that other than the fact that it’s a great product. It’s a very, very stable UVA sunblock. And again, it’s mixed with some good UVB screens and does a really nice job, it does have titanium dioxide in it as well. So you will find it’s a really, really good product. And, you know, they’re the only ones that were willing to wait for the approval because it took it takes forever, you know, they can wait up to 12 years now sometimes longer. In Australia, New Zealand, just to give you an idea, the amount of titanium dioxide and there are some blocks and some there’s some blocks forever was approaching 20%. And for almost a decade and a half that I can remember, we only were able to do it up to 8%. So you know the the FDA just took a really long time getting some of those some blocks brought over with a higher percentage. Blue lizard is one of those brands they do carry in my office.


It is a wonderful titanium and zinc product. Again with the highest percentages that you can get on the market. I was in New Zealand for an Australia forever before it came to United States. So very inexpensive but gives you really good protection. Now remember what these sunblocks they are all on top so they’re applied differently than a sunscreen. Okay, sunscreens need to be rubbed in, they need to be sprayed and let sit in for about 30 minutes because they need to soak into the skin. So I tell people this if you’re using and I think there’s a place for both, I think you should be using a sunscreen and a sunblock. So you should be using chemicals that absorb the light and chemicals that reflect the light. Okay. The my favorite product on the market for a few reasons. The primary reason is it’s very easy to use it it has a very it’s as a stable. Life has a longer life. And it’s called it’s Neutrogena with Helioplex so Helioplex is interesting. And Helioplex actually extends the life of the sunscreen. So it actually makes it much more stable so that when the heat hits it, it doesn’t break down as easily. So from a perspective of longevity and protection, it does a really nice job. So again, for that UVB what I do is I actually use the Neutrogena with Helioplex and I actually prefer the spray. I know there’s lots of stuff with that too, but I prefer the spray, you can use the cream. And then I use the the LaRoche Pose over top, on my chest, my shoulders, my face, depending on what I’m wearing. So that’s kind of where I go with this. Just remember, you know, we talked about clothing and big brim hats and all these things. But a white t shirt has an SPF of seven. So even with a white t on you still can get color, and you still can get aging rays. So I think that’s really important to understand because there’s a big trend right now in clothes and sunblock clothes. And there’s tons of companies that are putting them out right now. And actually it’s really interesting. There’s lots of bathing suits that are long sleeve bathing suits this year, or even like whole piece shorts and a shirt bathing suit that are not just cover ups are actually bathing suits. So I’ve seen a bunch of those online. I know LL Bean has had some protective clothing forever Cooliba, Athleta  lands and Columbia has had the shirts and the hats for a really quite some time. So you know if you are looking to make this easier, you SPF clothing does a really nice job. Just remember regular clothing, like especially gauzy cover ups and that kind of thing. You still can get some through that and you still can get aging race for that, especially in your chest and shoulders. The thin skin areas that get a ton of fun. So just keep that in mind. Broad brimmed hats. I think a lot of times we think about baseball caps generally speaking, a baseball cap doesn’t do enough especially for the sides of your face. So when we say broad brand, we kind of made like a big floppy hat. Or almost like a even like a cowboy hat would work something like that. You want to have basically a perimeter on all sides, back your neck, over your ears and over the sides of your face and your front and the front of your face. So um, you know, just make sure that you’re not just doing a baseball cap because that’s not going to be enough. Okay, so we talked about mixer all we talked about UVB and UVA. We talked a little bit about em Helioplex, again, you’re gonna look for and I believe they still have the patent on Helioplex. So it is the only company that still has it in their sunscreens. The UVA rays will not make you read, okay, so traditionally that’s Where this whole tanning booth misconception came because UVA again it does a better job of probably not making you read but it still ages you as much. And UVA can still and the data and the studies contribute to skin cancer. So


if you go and this is actually interesting study so we talked it said conventional sunscreen does not block UVA as effectively as it does UVB. And SPF rating of 30 plus may translate significantly to lower levels of UVA protection, meaning the higher you go try to block that UVB, you’re actually shifting your product that you’re using and you’re actually moving away from UVA protection. That’s a study from from 2003 there was a lot of studies leading up to 2011. For example, in 2004, there was another study at the University of Virginia that showed that UVA could also caused damage to skin cells deep within the skin, where previously we only thought it was UVB causing melanoma, which is where that broad spectrum terminology started to come into play. We really started to understand that it had to have a little bit of both coverage. Okay, so again, what you’re looking for and they do sell out Helio’s at the pharmacy. It is usually either on the bottom of the shelf or behind the pharmacy counter depending on where you go. It is LaRoche Pose which is by L’Oreal. It has octo Korea lean, which is a UVB sunscreen. It has parasol 1789 which is an avobenzone and it’s a very long UVA. Right absorber stable, it’s stabilized by the first ingredient that I gave you, which is that octocrylene. And last but not least it has that mixer on that mixer. Like I said it, it’s very stable, but it kind of gets that last little gap in that in the sun. nanometre wavelength. So if you’re looking at the wavelengths, you’re literally missing from 320 to 240. It’s this little gap where you’re not getting protection and mixed oral, it gets that so you have a very stable UVB protection and you have a nice gap filler and that UVA protection and then you know it actually it’s really smooth and it goes on clean. I love it. So that’s what I use. I get asked all the time what I use and you know again, that ultra I like the ultra share two of the Neutrogena has ever been zone which is, you know, a little bit controversial right now, but I still find it to give me the best sun protection. That’s an AV. UVA protector has oxybenzone again, has UVA protection, and it has that Helioplex , which extends the life up to 12 hours, actually. So when we talk about length of sunblocks versus sunscreens, that Helioplex makes those chemicals very, very stable. So and again, I don’t know of anyone else on the market that’s able to provide that kind of length of protection. So again, for you know, we’re talking about being out all day, that kind of thing, to me, that’s perfect to put underneath, and then you reapply it every half hour. Now if you’re reapplying it over a zinc product, you’re most likely going to have to reapply the zinc product, again, a zinc or titanium product because again, that sits on top of the skin and when you’re trying to force something through the skin, you’re probably going to move it around and and make it a little less efficient.


Um, let’s talk a little bit about eyes. I think this is one that I have struggled with over the years, I don’t like sunglasses, but I’ve learned to have to use them. as I’ve gotten older, I think my eyes have become more sensitive to the sun. So you know, when you look at sunglasses tint does not mean some protection. And you know, we know that UV rays damages the eyes, and we know that it affects vision. So you’re looking for something that says uv 400, which is giving you 100% UV protection, and that is going to block 99% of your UVA and UVB radiation. So, you know, again, when you’re looking for those sunglasses, the cheap ones, yes, they’re gonna give you a 10 and they’re going to help you maybe to not be squinting, but they’re not necessarily giving you that UVA and UVB protection. And that’s huge, especially for you know, if you don’t if you want to try to protect your eyes from damage, so that your vision doesn’t become affected. We talked a little bit about application of sunblock, I just want to make sure that I reiterate that the white stuff, the titanium dioxide stuff, and the zinc stuff. There are companies that make them very thin and fine, and they almost are undetectable as a white layer. And they’re great. But you want to make sure that you’re putting it on evenly. And that that’s like your physical barrier. So if you’re only kind of like almost like if you’re doing a song On screen, sometimes you kind of spread it out a lot more, but some block has to be very, very coded and specific and you actually have to just wait till it disappears. So that you can have good protection doesn’t necessarily take 15 minutes to start working like the 30 minutes like the others, but you want to make sure that you put a nice even coat. There also better for kit people or kids with really sensitive skin. The chemicals tend to be really irritating for people and kids with eczema, sensitive skin, and those kind of issues. So we tend to lean towards the titanium and the zinc for sensitive skin or skin that’s prone to breakouts. It is just two very natural ingredients. And it’s not soaking into the skin creating a disruption in the oil glands, or even creating like an eczema or a sensitivity. So I think you’ll find that for kids and it’s much bigger now because we can have higher percentages that we’re getting a lot more like the survey the sunblock which is a zinc and titanium. That is a nice high percentage coverage for the sensitive skin. So you know make sure that you patch test because that is some of the controversy over sunscreens right now. It’s just because they do break down the skin and you have some sensitivities. There is also some talk of cancer and is this chemical that’s breaking down in your skin creating a carcinogenic effect. I think the data is still out on most of them. There. There are a couple that really have hit that we hit the press probably in the early 2000s. But if you stick with the mix oral and like I said the Neutrogena Helioplex, I think you’re you’re in good company. And so those are the two and then if you’re talking about kind of zinc and titanium, I love blue lizard. I do love Sarah Bay as well. There are two really good ones and I happen to love obagi makes a really nice one as well. That’s a sunblock that is all titanium dioxide and zinc that is phenomenal. So again, if you’re looking for product, I don’t have a lot of those on my site. Most of them are over the counter, and you can get them at the pharmacy, you can get them on Amazon, I have found that there was one that was a prescription strength product other than, like I said, the obagi which you can still get online. And I love revisions to revision has a titanium tinted moisturizer, and that’s called intellishade. That is nice, especially if you’re going to the beach has a nice sunblock on it has a little bit of tint to it. But it also has some plant lighteners help lighten up sunspots. So you’re getting the benefit of the anti aging and the getting rid of the freckling while you’re wearing the product, which is a pretty awesome and that comes in matte and



like a gloss. So I personally like the matte but I feel like younger people like the little bit of shine. So they’re both wonderful. And we do carry those on as well. So let’s talk a little bit about how I reverse the stuff because we have about seven minutes or eight minutes left seven and a half. And I want to really kind of get to the crux of what happens when the sun creates these spots. So what we’re doing is you’re creating this dark melanin pigment and you’re actually it’s data it’s deep. So it starts off pretty superficial and the longer it’s exposed to sunlight, the more it produces pigment underneath. So yes, they get darker sometimes they get larger, but the worst part is they get harder to get rid of. So when we treat these sunspots, we usually will use a lightening cream like that IntelliJ that I just talked about, or obagi makes a really nice lightning kit or they actually sell products that have to a lightning agent need to them an exfoliator so it’s the hydroquinone own which has a lot of controversy over two which I’m not going to get into right now. We’ll do a separate talk on that but they all do really great job of lightening up the skin tone without lightening up your natural color. The other thing we have is called an IPL and that is a photo facial. Why is it called a photo facial? Well if you think about it, it’s literally taking away photo damage and it gives what makes you look like you had a facial literally so it evens out your skin tone. From a color perspective. It targets browns and rats so it targets hemoglobin so it gets rid of all those little capillaries and those red spots and it targets the brown spots, getting rid of freckling melasma just discoloration, acne scars, acne spots, evens it out and does a really nice job. by that same token, we have what’s called a fraxel which is a resurfacer and that fraxel is called fraxel restore. And don’t look up like any old fraxel just please look up fraxel restore because there is a difference and this fraxel I always say appeals the onion any residents are listening. I love to say it peels the onion because it targets water so it will get the top layers of skin and peel them off. By It’s gonna leave you with a deeper pigment stone, because it’s not targeting browns, it’s targeting water. So it will lighten up the top layer because it’s taking off, but it’s not going to get your deeper pigment. So it does a great job of collagen and tightening and all these other great things for your skin. It is going to airbrush the top layers of browns, but it’s not going to get your deeper ones. So that’s kind of where you reserve that IPL or what we call in the office of V LPL. Which is like a modified LPL a little less old school aggressive, if you will. So it’s not as much skin damage, a little bit nicer for your skin and not as much downtime. So brown spots tend to be the bane of our existence in general, because guess what guys are always coming back. Sorry, they’re never going away forever. Everybody wants to know, why do they have Why do they have to come back every couple of years for sunspots, it’s because they’re literally sitting at the bottom layer of the dermis, which is the bottom layer of the skin where we make pigment. And it just goes doo doo doo doo doo doo and climbs up. The better you avoid the sun, the less it climbs up. But unfortunately, with daily exposure, which we all have, they’re going to climb back up to the top. So there’s always a reason to have to hit these again or to stay on something to keep them lighter. So again, for that sunspot solar lentigo when we talk about the wrinkling and like what I call the roadmaps are like, kind of where all the skin starts to come together and it looks a little bit creepy and crinkly. That’s where that fraxel restore comes into play, because it does regenerate a lot of collagen. collagen is youth collagen equals elastic tissue, because elasticity is improved as well. And you’re again, you’re peeling that onion, see revealing some newer, fresher skin type. And that’s really important. The other machine that we love that does this is called the Morpheus and Morpheus is micro needling on steroids. Okay, so if you think about it, it’s literally a machine that micro needles and stamps these needles into your skin. And when it’s doing that, it gets to the bottom, and it’s super, super smart and brilliant, it actually will


give you the heat at the bottom of the needle. So basically, it’s giving you a radio wave at the bottom of this needle, and it deploys it in your dermis, which is the layer that actually makes collagen and tightens. And it actually will help to tighten the skin up. So it’s great for getting all the little fine lines and wrinkles. It’s great for tightening the jaw line. It’s wonderful for the neck. It’s also really good for getting off on those helping to get off those little millia, which I’ve had a couple of women lately that have had those and the milia our little white cysts on the skin that actually are from basically the skin cells just get stuck in the skin. And they actually create little keratin or little balls. And it looks like a whole bunch of mini whiteheads except they’re round. That’s a horrible way to live because they don’t come off you can’t do anything to get them off except laser them or Nick them all open individually. The other thing that we can do so we can use Morpheus, we can use fraxel on those. But we can also use retinol or Retin A and retinae is going to again, it’s going to peel that onion, it’s going to get the layers of skin to turn over, it’s going to dry out the skin a little bit, you went on to it and it’s going to start to exfoliate those little itty bitty sets that you’re going to get on the skin from from hopefully not get but that people get it also is going to help with fine lines and wrinkles. So what you’re going to find is a retinol or retin A is going to help in a lot of ways. The only downside is it does make you sound sensitive. So by the nature of peeling off the skin in everything that I just talked about the Morpheus, the fracks, all the retinae it does make you a little sun sensitive. So retinae must be rinsed off before you go out in the sun. We recommend you doing the lasers at a time when you don’t have a lot of sun exposure. And that’s the best way to go about doing it. You know, especially for the brown spots, the whole point of this laser is to see okay, your skin is white, the brown spot is brown, I need to be able to find this dark spot. If your skins do dark and you can’t see the difference. It’s not going to work as well. So the whiter you are and the darker the lesion, the better office this work so you know we although we do treat black skin types, we have to go very slow and easy and be very mindful of the lack or maybe not as much color difference and hitting their own natural pigment. And also those capillaries, those little itty bitty capillaries in the skin. We get rid of those with IPL as well under the around the nose on the cheek on the chin. You will see those from sun damage as well. And I think that you know a nice IPL a couple times a year and then once a year after that you’re good to go. So again, you can find this information on my website which is and again don’t carry the sunblock necessarily but what I’m I’m more prone to do is actually lead you towards where to get the right product because I just don’t find it to be worth it for me to carry it on my on my site. If you have any questions on skin lesions you can actually reach out to me on as well. Or you can email me directly at So I think I answered the question on Facebook. And so we have IPL fraxel we have the retinols the only thing I didn’t talk about was probably chemical peels. And since I have a minute left, there’s a million chemical peels on the market. They all do a nice job for getting rid of some of the pigmentation. But what I will say is that it is a little bit of a slow road and so you have to be ready for it for that road and do several of them at a time. So we do offer them in the office and at my parties so you can always email me about that. So that is your education for the night guys on sunspots, sunblock, sunscreen, and skin in general. So have a great night. I will see you next Wednesday 6pm Eastern Standard Time for anti aging unraveled.