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EXCESSIVEPHOTOAGINGPreventandtreatdeepwrinklesandothereectsACANADIANDERMATOLOGYASSOCIATIONPUBLICATIONSUMMER2013EARLYDETECTIONYouvebeendiagnosedwithskincancer.NowwhatDangersofindoortanningChoosingtherightsunscreenYourguidetosummerskinhealthINSIGHTHowthesuncanaectyoureyesPage6 SuncareThebestofUVB-UVAprotectionAstableUVB-UVAphotoprotectionwithlong-lastingefficacyApotentantioxidantPhoto-agingprotectionWater-resistantAvnethermalspringwaterprovidessoothingandsofteningpropertiesTheSkinCancerFoundationrecommendsthetintedcompactSPF50asaneffectiveUVsunscreenSENSITIVESKININTOLERANTANDALLERGICSKINThisproductisrecognizedbytheCanadianDermatologyAssociation ACAnAdiAndermAtologyAssoCiAtionpubliCAtionTheCanadianDermatologyAssociationispleasedtopro-videyouwiththismagazinedesignedtokeepCanadiansinormedaboutsunsaety.Ourpublicationcoincideswiththe25thannualSunAwarenessWeekheldthisyearromJune3toJune9.ThegoalotheweekandtheaimoourNationalSunAware-nessProgramistoreducetheincidenceoskincancerinCanada.SkincanceristhemostcommontypeocancerinCanadawithmorethan74000newnon-melanomaskincancersoundeachyear.Morethan5000Canadiansareexpectedtobediagnosedwithmelanomain2013withmorethan900dyingromit.Thenumberopeoplewithaskincancerdiagnosishasbeenrisingsincethe1960sandnowthoseborninthe1990shaveatwotothreetimeshigherriskoskincancerthanthoseborn30yearsearlier.Luckilybothmelanomaandnon-melanomaskincancerarehighlypreventable.Preventionbeginsbyget-tinginormedaboutthedangersoexcessiveexposuretoultravioletradiationwhetherromthesunortanningbedsandincorporatingsunsaetyintoyourdailyroutine.Intheollowingpagesyouwillndimportantadviceonhowtoprotectyourselromthesunandwhyyoushoulddoso.Youllalsondalistosunscreensrec-ognizedbytheCanadianDermatologyAssociationinormationaboutwhatmedicationsmaymakeyoumoresensitivetothesuntipsonhowtohavegreatskinthissummerandmuchmore.Besuretovisitourwebsiteatwww.dermatology.caormoreinormationonhealthyskinincludingactsheetsoncommonskinissuesandevencolouringpagestohelpchildrenlearnabouttheimportanceosunsaety.AspresidentotheCanadianDermatologyAssociationIwouldliketowishyouahappyandsaesummer.Dr.GordonSearlesPresidentCanadianDermatologyAssociationWhatsinsideSeskinhealthSixeasytipswillkeepyourskinlookinggreatthissummerSnandvisionSunglassesdontjustkeepyoulookingcooltheyprotectyouromseriouseyeissuesExcessivephotoagingLearnhowtoprevent-andtreat-thesignsophotoagingThedangesofindootanningWithsignicantlymoreUVradiationthanthesuntanningbedsareadangerousriskEalydetectionofskincanceLearnthesignsoskincancersoyoucanseektreatmentineededSnandedicationsYourmedicationsmaymakeyoumoresensitivetothesunHowtochooseasnsceenChooseasunscreenthatoferstheprotectionyouneedFinalwodOnewomansstoryothedangersotanningbedsSUMMER2013myskin34681214182022SummEr2013ApublicationotheCanadianDermatologyAssociationmyskinisproducedinco-operationwithRandallAnthonyCommunicationsInc.andGlobeEdgeadivisionoTheGlobeandMailsCustomContentGroup.InquiriesJennierScottCommunicationsDirectorjscottdermatology.caRichardDeaconNationalBusinessDevelopmentManagerrdeaconglobeandmail.comPointsofviewexpressedinthispublicationareeachauthorsownwork.Informationcontainedinarticlesshouldnotbeconsideredcompleteandshouldnotbeusedinplaceofavisitcallorconsultationwithoradviceofadermatologist.PruparersmyskinmaazeAMESSAgEfRoMthEPRESidEntWelcoetoopeieisse2261218 12345EmbracEuuhueDitchyourplanstogetatan.AtanisevidencethatyourskinhasbeendamagedyourskinchangescolourasaresponsetoinjuredDNAintheskincells.Overtheyearsallthatharmwillproducewrinklesnelinesdarkspotsvisiblebloodvesselsandevenpurplishsplotches.Somepeoplealsogetsunblistersorcoldsoresateradayoutinthesun.Thisisbecausetoomuchexposuretothesuncanaectthebodysimmunesystemleavingitsusceptibletoinection.Forgreatskinnowandintheutureprotectitromthesun.ProtEctusThereareaewsimplerulestoollowtoprotectyourskin.Wearahatwithawidebrimthatcoversthebackoyourneckandchooseclothingthatcov-erssun-exposedareas.SelectclothesindarkorbrightcolourscoloursthatrefectsomeUVlightandthataremadeodenselywovenabric.Wearsunscreenonallexposedareasoskinincludingyourhandsandlipsseetip3onhowtopickyoursunscreen.Takeextracareiyoullbespend-ingtimenearwaterwheretheUVrayscanberefectedbackontoyourskin.PickheghsuseeOnpage21andontheCana-dianDermatologyAssociationCDAwebsiteyouwillndalistosunscreensrecognizedbytheCDA.AllthesesunscreenshaveasunprotectionactorSPFo30orgreaterarebroad-spectrumhypoallergenicnon-irritatingnon-comedogenicandlowinragrances.Abroad-spectrumsunscreenprotectsagainstbothtypesoharmulultravioletraysUVAandUVB.UVArayspenetratedeeperintotheskinintereringwithyourbodysimmunesystemandcausingprematureagingotheskin.UVBraysaecttheupperlayersoskinandaretheprimarycauseosunburn.UVBraysareblockedbyglasslikeyourcarwindowbutUVAraysarenot.OverexposuretoeitherUVAorUVBrayscancauseskincancer.aPPlysuseeeManypeopledontapplyenoughsunscreen.Youllneedtwotothreetablespoonsoryourbodyandateaspoonoryourace.Remembertoreap-plyyoursunscreenregularlyespeciallyaterswimmingorsweatingsunscreencantprotectyourskiniitstaysinthebottle.HydratEsuzeYourskinisalwaysthirsty.Makesureyoudrinkenoughfuidstoreplacemoisturelostthroughsweatingandtokeepyourbodyhydrated.Amoisturizerwillhelppreventyourskinromdryingoutandisbestappliedwhenyourskinismoistsuchasaterashowerorbath.maintainhehfeseYourskinbenetsromanyhabitsthatimproveyouroverallhealth.Eatingabalanceddietexercisingrerainingromsmokingmanagingstressandgettingenoughsleepwillallcontributetoglowingskin.Exer-cisingincreasesthebloodfowtoyourskinbringingnourish-mentandoxygenwithitandsweatinghelpsfushoutimpuri-tiesinyourskin.Keepingyourskincleanisalsoimportantandwashingyouraceeverymorningandbeorebedwithagentlenon-irritatingcleanserwillkeepitlookingresh.Dr.IanLandellsistheClinicalChiefattheDivisionofDermatol-ogyforEasternHealthClinicalAs-sociateProfessorofMedicineandPaediatricswiththeFacultyofMedicineatMemorialUniversityofNewfoundlandMedicalDirec-torofDermatologyatNexusClini-calResearchandpastpresidentoftheCanadianDermatologyAssociation.4SUMMER2013myskinSixtipsforgreatskinthissummerByDr.IanLandellsthesummermonhsareagreaimeoshowoyourskin.Followthesixtipsbelowtolookyourbestbothnowandinthefuture.upfront6 SUMMER2013myskin5Msleagmarkegclamsaccuraeprucfrmaapublcpercepcamakecfusgselecver-he-cuerskhealhprucs.thaswhyheCaaadermalgyAsscaslauchgaprgramhelpcsumersmakebeeramrefrmeecss.ihecmgmhswellberucgaewprgramhepublchawebelevewilleectivelylltheneedexpressedbyconsumersandindustryforevidence-basedinfor-mationreectingthemostrecentdermatologicalsciencetohelpCanadiansnavigatehevareyfskcareprucshemarke.ourSkinHealthProgramwillbeledbyanExpertAdvisoryBoardofobjectivemedicalspecalsswhwllrevewprucfrmulasaepeelabraryesgpr-veCaaacsumerswhrelableubaseguacewheselecghealhyskcareprucsfrhemselvesaherfamles.Sce1925heCaaadermalgyAsscahasremaeecaeprv-gCaaaswhfrmaabumaagpmalskharaalhealh.nwwereggasepfurherbyempwergCaaaswhhekwlegeheyeemakefrmechcesabuheermalgcalprucsheyuse.Ourexpertsarelookingoutforyourfamilyshealth.WhensummernallyarrivesinCanadaCanadianscelebratewithaternoonsintheparkdaysatthebeachhikesinthewoodseverymannerooutdooractivity.Itsgreatorourhealthandourspiritsbutitalsobringsthedangerosunburnandwithitriskoskincancer.Skincanceristhemostcom-monormocancerinCanadamorecommonthanbreastprostatelungandcoloncancercombinedsaysVictorWongaShoppersDrugMartpharmacistandowner-operatorinToronto.Unortunatelywhiletheincidenceoskincancerisrisingitcanbepre-ventedhestresses.TherearenosaeUVraysbutefec-tivesunprotectioncanbeachieved.Wongsaystheanswerisoundinjustaewsimplesteps1.Coverup.Hatssunglassesandclothingareamust.Darkercloth-inganddenserweavesareproventoprovidethebestprotectionclothingwithbuilt-inUVprotectionisalsoavailable.2.Seekshade.Avoidthesunbe-tweenthehourso10a.m.and4p.m.evenoncloudyorhazydays.RememberthatUVrayscanpassthroughwindows.3.Applysunscreen.Alwaysapplygenerously30minutesbeoregoingoutandreapplyeachtwohoursorimmediatelyaterswimmingorexcessiveperspiration.Themostimportantthingtodowhenchoos-ingasunscreenisreadthelabelheadvises.TheSPFnumberstandsorSunProtectionFactor.SPF30meansyouwillgetthesameamountoUVraysin30minutesthatyouwouldinoneminutewithoutprotection.AlsoimportantisUVAprotectionagainstagingwhichmeanslookingorbroad-spectrumprotectionadvisesWong.ForexampleatShoppersweoferCanadianDermatologyAssociation-approvedLieBrandSunthera3broadspectrumproductswhichoferprotectionagainstbothUVAandUVB.TohelpensureCanadianshavethesunprotectiontheyneedShoppersDrugMartisoferingaSunSaetyPharmacycampaignromJune1sttoAugust9th.IyouareplanningonbeingoutinthesunwereheretohelpwithtipsandadviceonsunsaetysaysWong.HeadsupfromCDAStepinsideaShoppersandexploresunsafetythroughtoAugustADVERTISEMENT 6SUMMER2013myskinWeallknowaboutsun-screenandotherprotec-tivemeasurestokeepourskinsaebutwhataboutoureyesSunglasseskeepoureyessaeromthesunandcanprotectusrommanyeyeissues.Therearemanyreasonstowearsunglassesoutsideonbothbrightdaysandthosewithcloudcover.UltravioletUVlighteasilypenetratescloudsparticularlyinthesummerduringmiddayorataltitude.Givenourcumula-tiveexposuretoUVradiationoverourlietimeevenlowlevelsoUVradiationhavethepotentialtoaectalmostallstructuresotheeyeanditssurroundingtissues.Youreyelidshavesomeothethinnestandmostdelicateskinonyourbody.Theyaresubjecttothesameriskocancerasanyothersun-exposedskinsuracebasalcellsquamouscellandmelanoma.Thelowereyelidisparticularlypronetobasalcellcarcinoma.Pre-cancerousactinickeratoseswhichcanprogresstosquamouscellma-lignancieshaveapreerenceorthecornersotheeyelids.Thecorneathecleardome-shapedwindowotheeyecangetenoughoasunburnthatdryeyesymptomscanbegen-eratedorgreatlyaggravated.Anextremeexampleothisisthesnowblindnesssueredbyski-erswhoorgettheirsunglassesorgoggles.TheshorterUVBwavelengthsareresponsibleortheormationopingueculaesmallfeshynodulesatthejunc-tionothecorneaandsclerawhiteotheeyeatthethreeandnineoclockpositions.Pingueculaecangrowacrossthecorneaasapterygiumwhichcanbecosmeticallyunacceptableandleadtovisualdistortion.Cloudingothenaturallensnuclearscleroticcataractisanormaleectoagingbutcorticalcataractsareassoci-atedwithexposuretoUVlightwithoutpropereyeprotection.Thesetypicallyoccuratamuchyoungeragetopeopleintheir40sand50sratherthantheusualagegroupothoseintheir70sor80swhodevelopnuclearscleroticcataracts.Thedamageprobablystartsinchildhood.ThenumberonecauseoblindnessinCanadaisage-relatedmaculardegenerationwhichiscausedbyanumberogeneticandenvironmentalactors.OneotheallegedmodiableriskactorsisUVAandperhapsbluelight.Theevi-denceisntconclusivebutthesewavelengthscanbelteredtoalargeextentwithsunglasses.Goodgeneral-purposesun-glassesdonthavetobeexpen-sive.Howevertheyshouldlter60to92percentovisiblelightandUVAraysand95to99percentoUVBrays.Theyshouldbedarkenoughtobecomortableinbrightlightbutnotsodarktoreduceyourvision.Winterenthusiastssuchasalpineskiersotencarryaselectionotintsorvariouslightingconditions.Photochro-miclenseswhichdarkenwithincreasinglightintensitymaybeadequateormoderatecon-ditionsbutmaynotgetdarkenoughorverybrightlight.Polarizedlensesareparticularlyuseulorrefectedlightromtheroadwaterorsnow.Thecolourothelensshouldbegreyorabrownishgreen.Sunglassesshouldbelargeenoughtocoverallthelight-sensitivestructuresotheeye.Largewrap-aroundstylesorsportgogglesarethebestchoicesorthosewhoworkorplayoutdoorsandabroad-brimmedhatisagoodideatoo.Dontorgetyourchildrensincemucheyedamagebeginsatayoungagechildrenshouldprotecttheireyesromthesunbywearingsunglassesassoonastheyventureoutside.Dr.PaulRafuseisthePresidentoftheCanadianOphthalmologicalSocietyandanAssociateProfes-sorintheDepartmentofOph-thalmologyandVisualSciencesDalhousieUniversityHalifaxNovaScotia.HeisapastPresi-dentoftheCanadianGlaucomaSocietyandchairedtheExpertCommitteeauthoringtheCana-dianOphthalmologicalSocietysClinicalPracticeGuidelinesfortheManagementofGlaucomaintheAdultEye.Sunglassesoferimportantsunprotection.remembeyoueyesByDr.PaulRafuseupfront Voted1BestFeelingSunscreenbyCanadianDermatologistsNEUTROGENAsunscreenvotedbrandwithbesttexturebyCanadiandermatologists.2012dataonfile.JohnsonJohnsonInc.2013 8SUMMER2013myskin126354 SUMMER2013myskin9photoagingByLolaAugustineBrownFEATurETwoactorsdeter-minehowourskinages.Firstthereischronologicagingoragingcausedbythenaturalpas-sageotimeandtosomeextentourgeneticsandthereisntmuchyoucandoaboutthat.Thenthereisphotoagingtheagingotheskincausedbysunexposureandtherearewaystobothpreventandtreatthistypeoskinaging.Photoagingisotendescribedasprematureagingbecauseoexcesssunexposureanditsusuallyresponsibleorthedeepwrinklingpre-cancerouslesionsleatheryappearanceanddrynessthatyouseeonsomepeoplesskinsaysLondonOntariodermatologistDr.DeniseWexler.Withchronologicagingyouwontgetthesameextremesandconse-quentlythosewhohavehadalotosunexposurewilllookolderthantheirage.PeventionisKeyAlthoughthereareseveralwaysthatyoucanhelpimproveyourskinthereisnowaytocompletelyundotheefectsophotoaging.Whatyoucandoismakesurethatyoupreventanyurthersundamagebywearingahatsun-protectiveclothingsunglassesthathaveUVAandUVBprotectionandpreerablyonesthatwraparoundyouracetoprotectasmuchoyoureyesaspossibleandocoursesunscreenonethatisbroadspectrumandatleastSPF30.Althoughweallknowthatweshouldwearsunscreenitisntsimplyacaseoapplyingalittlebitatthebeginningothedayandthinkingyouareprotected.Wexlersaysthatwhenapplyingsun-screentheaverageadultneedstousetwotothreetablespoonsosunscreenandtheyneedtoreapplyiteverytwotothreehours.EspeciallyiyouareatthebeachinandoutothewaterordoingasportsactivitywhereyouaresweatingThedeleteriousefectsothesunareresponsibleorupto90percentoskinaging.Picturedoppositesomeearlysignsophotoaginginclude1sun-relatedkeratosis2pigmentedspots3deepwrinkles4reckles5agespots6solarlentigines.Ittakesmorethangreatgenestokeepyourskinlookinggoodasyougetolder.Allthosevisiblesignsofagingthatyouhearaboutoncosmeticsadsthenelinespigmentedspotsandlossofskintoneoftenhavemoretodowithsunexposurethantheydogenetics.Thelowdownon alotthenyoureallyneedtoreapply.Itisalsoimportantnottoassumethatbecauseyouarewearingsunscreenyouaretotallyprotectedandcanstayoutinthesunallday.SeekshadeadvisesWexlerandavoidbeingoutinthesunbetween11a.m.and3p.m.whentheUVraysarestrongest.TreatingPhotoagingWhenitcomestorepairingthedamagedonebythesunanumberooptionsareavailable.Usuallytherstcourseoactionistoapplysomesortocreamtotheskinknownasatopicaltreatment.Thereareahugenumberocreamsavailableindrugstoresthatcontainactiveingre-dientsthathavebeenproventoreversephotoaginginsomewayandiyouvisitadermatologistyoucanalsoobtainprescription-strengthcreamsthatwillhaveamuchmorenoticeableimpact.Thecreamsthatareavailableoverthecounterarenotthoughttobeasstrongbutprob-ablydohavesomeeectsaysWexler.Severaldierentingredientsareusedintheseproducts.TopicallyretinolvitaminCglycolicacidtretinoinandpeptideslikematrixylareuseulthingsonecanapplytotheskinsaysDr.BenjaminBarankinaTorontodermatologistandmedicaldirec-torotheTorontoDermatologyCentre.Inover-the-counterpreparationstheseingredientsmaybelistedunderdierentnamesorexampleRetin-Aisaormotretinoinortheymaybelistedasanti-oxidants.Inbasictermsthesecreamsworkbylighteningtheskinandstimulatingthecreationohealthynewskincellswhilepreventingthebuild-upodeadcells.Photoagingbreaksdowncollagenthestuthatgivesskinitsstrengthandholdsittautandthesetreatmentshelpbuildupcollagenintheskin.Beyondusingcreamsotherphotoagingtreatmentscanhaveaverypositiveeectandhelpreversesundamage.Wecanalsoperormtreatmentsusinglasersandlight-baseddevicesaswellasmedical-gradechemicalpeelsandmicrodermabra-sionexplainsBarankin.Byconsultingwithadermatologistyoucanndoutwhichcourseoactionwillbestsuityouandprovidethebestpossibleresults.Itishardtocompletelyundotheeectsophotoagingbutthetopicaltreatmentsandservicesthatdermatolo-gistsusecandenitelyimprovetheskinsignicantlysaysBarankin.Goingorwardthebestanti-agingthinganyonecandoistominimizesunexposureandwearagoodsunscreenproperly.LolaAugustineBrownisareelancewriterliv-inginHaliaxNovaScotia.HerarticleshaveappearedinFlareFashionCanadianFamilyTodaysParentandvariousothermagazinesinNorthAmerica.UVBistheshorterwavelengthandtheseraysburntheskinandareresponsibleorthedevelopmentophotoagingandskincancers.UVApenetratesalotdeeperbuttheseraysaredeceivingbecausetheydontburntheskinbutprobablycauseevenmoredamageintermsophotoagingandmelanomadevelopmentsaysWexler.ThismeansthateveniyouarentvisiblygettingasunburnUVAcanstillbedamagingyourskin.ForexampleiyouareusingatanninglightthatonlyhasUVAwavesyoumaynothavevisiblesunburnbutyoumaystillbeatriskodamage.WhatisitHowdoyoutreatitSunburnistheskinsshort-termresponsetoultravioletUVradiationthatpen-etratestheskinandharmstheDNAwithinitscells.WithrepeatedandunprotectedexposurethedamagecausedbyUVradiationmayresultinsun-inducedchangessuchaswrinklesmottlingoskincolourandskincancer.Signsosunburntypicallyincluderednessandswellingtendernessandorirritationskinthateelshottothetouchandvaryingdegreesopainwhichareallproportionalinseveritytoboththedura-tionandintensityoexposure.Inseverecasesapersonmayexperienceblisteringsecond-degreeburnschillsandeverdehydrationelectrolyteimbalancesandorasecondaryinection.Sunburntreatmentaimstoproviderelieromdiscomort.Thiscanbeachievedwiththeuseoanalgesicspainkillerscoolbathsaloeveralotionsandmoisturizers.WhatisitHowdoyoutreatitHyperpigmentationisthedarkeningoanareaoskinornailsduetoexcessproduc-tionomelanincausedbysundamageinfammationorotherskininjuriesincludingthoserelatedtoacne.Peoplewithdarkerskintonesaremorepronetohyperpigmentation.Dermatologicallaserprocedurescansometimesinducehyperpigmentationwhichiswhyitisimportanttoensurethepersonperormingtheseproceduresisaphysicianorworkingundertheguidanceoaphysicianwithagreaterunderstand-ingotheskinitsstructureandtheimplicationsolaseruseontheskin.TotreathyperpigmentationaphysicianmayprescribehydroquinonetopicalretinoidstopicalcorticosteroidsglycolicacidandotherruitacidsazelaicacidandL-ascorbicacid.SkinresuracingusingchemicalpeelslaserintensepulsedlightIPLordermabrasionmaybeeectivebutunortunatelyrisksurtherdamagetotheepidermisandormationomorepig-ment.Cautiouscryotherapytosmallareasopost-infammatorypigmentationcanbeeectivebutmaypotentiallycauseapermanentlossopigment.10SUMMER2013myskinWhtsthedifferenceetweenUVandUVbSunburnHyperpigmentationWhiletheefectsophotoagingliketherecklespicturedherecannotbecompletelyundonedermatologistscanapplytopicaltreatmentsandservicestoimproveskinhealth. CAPITALSOLEIL1ReferenceFIFG2012CanadianstudyamongCanadiandermatologists.ACNielsenpharmaciessalesininCanada2011.WithotherltersinproductsCapitalSoleilSPF60XLcreamSPF60XLfacestickkidsSPF50lotionSPF30XLcreamSPF30XLultra-uidlotionandSPF20XLlipprotectionstick.PRESERVETHEYOUTHANDBEAUTYOFYOURSKINForapersonalizeddiagnosticandadvicevisitvichy.cacapitalsoleilHIGHUVA-UVBPROTECTIONLong-lastingUVprotectionwithourphotostablefilteringsystemfeaturingMexorylapatentedfiltermostrecommendedbyCanadiandermatologists.1ULTRA-COMFORTABLETEXTURESNewBareSkinFeelLotionSPF4560withdry-touchnon-greasynon-comedogenicandfast-absorbingtexturessocomfortabletheyfeellikeyourdailyskincare.NEWYOUR1BRANDINCANADAEXCLUSIVELYINDRUGSTORES DoyoulookbetterwithatanManyCanadiansseemtothinksoparticularlywhenattendingcelebrationssuchaspromsandweddings.AlthoughmanyCanadiansseekatanbecausetheybelieveitenhancestheirappearancetheyareriskingtheirhealthintheirquest.Somepeopleareawareothedevastatingside-eectsromusingindoortanningbedsbutseemtobewillingtoaccepttherisk.Othersremainunawareothepossibleside-eectsotanninganddonotknowthatatanisactuallyaresponsetodamagetotheskin.ThedirectlinkbetweenskincancerandultravioletUVradiationisundeniable.Butdidyouknowthatindoortanningequipmentcanemit10to15timesmoreUVradiationthanyouwouldbeexposedtowhenoutdoorsintheaternoonsunNotonlyisthetanningindustrymisleadingitscustomersintobelievingthatusingarticialtanningequipmentisbenecialtheyaremarketingtheireortsdirectlytoourchildren.Industryadvertisementsencouragepeopletobelievethatagoodbasetanwillhelppreventsunburn.Howevertheactsremainthatskinisdam-agedwhenobtainingabasetanwhichonlyprovidesyouwithasunprotectionactorotwotoour.Thiscertainlycannotcomparetotheeectivesunprotectionoundinahigh-qualitysunscreen.Theadsaredirectedtowardstheyouthmarketorgoodrea-son.Indoortanningisverycom-monamongteensandyoungadultswithover70percentoCanadianemalesbetweentheageso15and18havingusedtanningbeds.Fortypercentoemaletannersbetweentheageso11and18haveusedtanningbedsmorethan10timesinthepastyear.In2009theWorldHealthOrganizationreclassiedtan-ningequipmentascategory-1carcinogenictohumans.Tobaccoarsenicandplutoniumalsoholdcourtinthiscategory.Indoortanningbeoretheageo30increasestheriskomela-nomaby75percent.Yetyoungpeoplestillusetanningbedsinspiteotherisk.Discountmulti-tanpackagesfashyadvertisingandthestillcommonbeliethatatanmakesyoulookhealthycanbeverypersuasive.Letsconvincetannersthatnotanissexy.Talktothetannersyouknowencouragethemtoskipthetanandbehappywiththeskincolourtheywerebornwith.Indoororoutdoornotanisworththerisktoyourhealth.Dr.CherylRosenistheChairoftheCanadianDermatologyAssocia-tionsNationalSunAwarenessProgramHeadoftheDivisionofDermatologyatTorontoWesternHospitalandanAssociateProfes-sorintheDepartmentofMedicineattheUniversityofToronto.HavingatanmeansImhealthy.FalseAtanisevidenceodamagedonetotheDNAoskincells.Notallothisdamagecanberepairedanditcanleadtomutationsthatcanultimatelyresultinskincancer.Icansafelygetatanbyusingatanningbed.FalseThereisnosuchthingasasaetan.Tan-ningbedsmayemit10to15timesmoreUVradia-tionthanthemiddaysunwhichiswhyyourskintansinbriesessions.IndoortanningcangivemeallthevitaminDIneed.FalseTakingavitaminDpillandeatingoodthatcontainsvitaminDarearsaerwaysogettingenoughvitaminDsoskipthetanningbed.MostpeoplegetenoughUVBradiationromincidentalsunexposureinthespringandsummer.Someadvertiserssuggestitssexybutitsnot.ThedangesofindoortanningByDr.CherylRosenTeoFalseFEATurE12SUMMER2013myskin Whetherwereyoungoroldwereallseekingclearsmoothcomplexions.Butdarkspotsontheskinsometimescalledagespotsliverspotsorhyperpig-mentationarecommonespeciallyasweage.Ageisnotaprimarycausehowever.Darkspotscanotenbepreventedandwhentheyoccureectivetreatmentsareavailable.Thetwomaintypesohyperpigmen-tationarelentiginessunrecklescausedbyprolongedrepeatedexposuretothesunthroughoutlieandmelasmaorchloasmawhichcanbetriggeredbyeitherprolongedsunexpo-sureorhormonalchangespregnancyhormonaltreatmentsorwhiletakingoralcontraceptives.Melasmaisusuallyintensiedbysunexposure.Chloasmaissometimescalledthepregnancymaskandcausesdarksmoothspotsotenwithunevenedgestoappearontheoreheadcheekbonesandcheeks.HyperpigmentationcanalsobecausedbyskininfammationsuchasrashesoracnesaysDr.AdamNatshehaTorontodermatologist.Inothercasescertainmedicationscancausephoto-sensitivitywhichmakestheskinmorepronetosolardamage.Butthebiggestactorissundamagehesays.Practicingsaesunhabitscanpreventorreducehyperpigmenta-tion.Thatmeanslimitingsunexposurebetween10a.m.and4p.m.coveringyourheadwithahatwearinglightbreathableclothingandusingabroad-spectrumsunscreenonanyexposedskin.Itsalsoimportanttoconsultyourdoc-torwhendarkspotsoccurasaresultohormonaltreatmentsaswellastotreatrashesearlytominimizelong-lastingdamageheadvises.Forexistingspotstreatmentrecom-mendationsdependonthedepthothepigmentationsaysNatsheh.Forthoseonthesuraceotheskinherecom-mendstopicaltreatmentssuchastheD-PigmentDarkSpotLightenerbyEauThermaleAvne.TheD-Pigmentlinelightensdarkspotsandpreventsnewonesromappear-ingeveningoutskintone.Itcombinesthreecomplementarysynergisticactiveingredientsmelanydeade-pigmentingagentderivedromtheScotsPinereti-naldehydearetinoidvitaminAwhichstimulatescellrenewaltohelpremoveexcessmelaninandpre-tocopherylaprecursorovitaminEthatslowsmelaninproductionthroughananti-oxidizingaction.Whenapplieddailytheproducthasbeenproventoreducehyperpig-mentationby81percentoveraperiodothreemonthswithvisibleeectsaterjustonemonth.Fordeeperhyperpigmentationop-tionsincludeusingprescriptionmedica-tionchemicalpeelsmicrodermabrasionandlasertreatmentstore-movethedarkordamagedskinsaysNatsheh.Meanwhilepreventingsundamageintherstplaceiscriticalheadvisesnotingthatplanningaheadisaneec-tivestrategy.Peopleotenndthattheygetcaughtoutsideunexpectedly.Manycomeinwithsundamagethathasresultedromchronicsunexposurewhiledrivingevenitheyrejustspendingalototimecommuting.BeingawarethatsundamagecanoccureventhroughclosedwindowsandkeepinganEauThermaleAvneveryhighprotectiontintedcompactSPF50inthecarcanhelphesays.Therearealsolotsogreatmoisturizersthatcontainsunscreen.Applyiteverymorn-ingbeoreyouleavethehouseeveniyoudontplanonspendingalototimeoutside.Equallyimportantespeciallyorteensandyoungadultsisavoidingsunbedshestresses.Thattanmaylookgreatnowbutitiscausingalotodam-agethatwillappearovertheyearstocome.SkincaretreatmentlightensdarkspotscausedbysunexposureADVERTISEMENT-8181lesspigmentationonaveragevalidatedbythedermatologistDPGAscoreBeforeAfter3months 14SUMMER2013myskinFEATurEByDr.RichardLangleyAlthoughitisthemostcommoncancerinCanadaskincancerislargelypreventabledetectableandcurable.Youcanprotectyourhealthbytakingstepstopreventskincancerlearningwhatskincancerlookslikeandtakingactionifyoundsomethingunusual.ItisestimatedthatoneinfveNorthAmericanswilldevelopaskincanceroverthecourseotheirlietime.Theincidenceomelanomathemostdangerousotheskincancershasincreasedalmostthreeoldoverthepastthreedecades.Despitethesestaggeringstatisticsidetectedearlyskincancercanbesuccess-ullytreated.Melanomaicaughtinitsearlystagesiscurableorwhenminimallyinvasivehighlycurablewhereaspeoplewithmelanomathathasmetastasizedtothebrainhaveanaveragesurvivalrateoonlyourmonths.Thisunderscoresthecriticalimportanceoearlydiagnosisandpromptexcisionomalignantskincancer.Themostcommonormoskincancerbasalcellcancerrarelymetastasizes.Stillevenorthisormocanceritisimportanttodiagnoseitearlyasitcanbelocallyinvasiveandcausesignifcantmorbidityinpatients.WhyispreventionimportantSkincancerislargelypreventable.Themostimportantriskactorsormelanomaincludelightskincolourredorblondhairahistoryosunburnsparticularlyblisteringsunburnsaamilyhistoryomelanomainatleasttwofrst-degreerelativesandapriorhistoryoskincancethebigCEarlyidentifcationisofcriticalimportance ANTHELIOSXLTheadvancedUVA-UVBprotectionmostrecommendedbyCanadiandermatologists.InthelightesttexturesCanadianStudyIFOP2012FRAGRANCE-FREE.PARABEN-FREE.UseourinteractivemolecheckertomonitoryourmolesatDETECTEDEARLYENOUGHCANBECUREDOFSKINCANCERSSourceFrenchSyndicateofDermatologistsandVenereologists10thMarch2008. 16SUMMER2013myskinFEATurEmelanoma.Someotheseriskactorssuchassunexposurecanbeminimizedparticu-larlysunburnsandblisteringsunburns.Wealsoknowthatorthemostcommonskincancerbasalcellcarcinomathemostsignicantriskactorischronicsunexposure.Over80percentoallbasalcellskincancersoccurontheheadandneckoccurringinareasomaximumsunexposure.Solarradiationhasbeenidentiedasacar-cinogenbytheWorldHealthOrganizationanditsclearlinkinepidemiologicalstudiesoskincancerunderscorestheimportanceoprevention.Ingeneralwerecommendthatpatientsavoidthemiddaysunrom11a.m.to3p.m.wearasunscreenwithanSPFoatleast30wearsun-protectivecloth-ingandavoidarticialormsoradiation.Theseprecautionshavebeenshowntoreducetheormationoskincancersandareanimportantstepthatwecanalltaketopreventskincancer.apperneloioncusesWhosristreenSun-exposedareasmostcommonlyontheaceandneckbutalsoonthetrunkarmsandlegs.Chronicallysun-exposedareassuchastheheadandneckarmsbackothehandsandlegs.Areasoparticularconcerntherimotheearandthelip.Formencommon-lyontheback.Forwomencom-monlyonthelegs.Indarker-skinnedpeopleitcanap-pearonthesolesotheeettoenailsandpalmsothehands.Canalsoappearonthearmscalporace.Sun-exposedareassuchastheaceearsbaldingscalpbackothehandorearmandlegArmfesh-colouredorred-dishbumpotenwithapearlyborder.Asoreorpimple-likegrowththatbleedscrustsoverandthenreappears.Thickenedredscalybumpsorwart-likegrowths.Growsquicklyoveraperiodoaewweeks.Canbeanewmoleorreckle-likespotordevelopinanexistingmole.Usuallydarkincolourbrownandblackandcansometimesincludebluegreyandred.Redroughscalingspots.Spotsmaystingoritch.bsceCLASSIFICATIONSkinCancerSquousceCLASSIFICATIONSkinCancermignnmenoCLASSIFICATIONSkinCancerainikerosisCLASSIFICATIONPre-CancerFrequentseveresunburnsandin-tensesunexposureinchildhood.Frequentsunexposure.ExcessiveexposuretoUVromthesunorsunbeds.Ahistoryoseveresunburns.ExcessiveexposuretoUVromthesunorsunbeds.Ahistoryoseveresunburns.Fair-skinnedpeoplewithblondorredhairandskinthatusuallyburnsaremostatrisk.Incidenceincreasesaspeoplegetolderespeciallyovertheageo50.Moremengetbasalcellcancerthanwomen.Organtransplantpatientswhoseim-munesystemsarecompromised.Fair-skinnedpeople.Peopleover40whovehadalotolietimesunexposure.Outdoorworkers.Organtransplantpatientswhoseim-munesystemsarecompromised.Fairsun-sensitiveskinthatburnsratherthantansandpeoplewithrecklesandredorblondhair.Peoplewithmorethan50molesoracloseamilyhistoryomelanomaorapersonalhistoryomelanoma.Fair-skinnedpeople.Peopleover40whovehadalotolietimesunexposure.Outdoorworkers.Dependsontumoursizeandlocationaswellasthepatientsoverallhealth.Therapiesincludephotodynamictherapyimmune-modulatingcreamsorsurgeryorlargerecurrentlesions.SurgicalexcisionradiationtherapyorMohsmicrographicsurgery.Iconrmedbybiopsyexcisionorsurgeryisrequired.Treatmentsincludecryosurgeryreezingothelesionwithliquidnitrogensurgi-calremovalandcreams.Self-detectionworksover50percentofallmelanomaswereself-detectedbypatients. suncareJohnsonJohnsonInc.2013Dataonfle.ACTIVENATURALSoatsclinicallyproventohydrateandnourishsun-exposedskinbroadspectrumUVAUVBprotection1pediatricianrecommendedbrandinCanadawaterproofsweatproofprotectiontrustedforbabyandmomthatsthebeautyofnaturescienceWhatarethesgnsofskncancerandwhatdoidofifndsomethngLookorneworchangingskinlesionsmonitorthemandgetthemassessediyouareconcerned.Sustainedchangeoverthecourseoweeksormonthsisasignifcantriskactororskincancer.FormelanomaahelpulmnemonicistheABCDEsAAsymmetryintheshapeorcolouroapigmentedlesionBIrregularorjaggedborderCVariegationincolourssuchasshadesobrownblackredorwhiteDAdiametergreaterthan6mmEEvolutionorchangeinalesionasnotedaboveSel-detectionworksover50percentoallmelanomasweresel-detectedbypatients.Iyouidentiyasuspiciouslesionitisbesttobringittotheattentionoyouramilyphysician.Iheorsheisconcernedtheymaydoabiopsyremovethelesionorre-eryoutoadermatologistorexamination.Rememberthatmostskincancersarecurableorhighlycurable.Yourtreatmentoptionsdependonthetypeoskincanceryouhavebeendiagnosedwith.Iyouhaveabasalcellskincancerorsquamouscellskincancerthesecantypicallybecuredbysurgicalremovalothetissuealongwithaminimalamountosurroundingnormalskin.CertaintypesobasalcellskincancersbasalcellcancersaroundtheeyescertainlocationsonthenoseoraspecifctypeobasalcellcancercalledmorpheaormmayrequirespecializedsurgeryknownasMohssurgery.Thistypeosurgerywillremovethecancerinseveralstagestoensurethatallothecancercellshavebeenremoved.Formelanomathestageothecancerwilldetermineyourbesttreatmentoption.Mostmelanomasareeitherintheouterlayerotheskinepidermisorhavejustpenetratedintotheskin.Inthiscasethethicknessothetumourhowaritpenetratesintotheskinwilldeterminehowwideamarginonormalskinyouneedtohaveremoved.Patientswhohavethickertumoursmayalsorequireaspecializedbiopsyoanodecalledasenti-nellymphnodebiopsy.Althoughskincanceristhemostcommoncancertheprognosisisexcellentithecancerisdiagnosedearlyandtreatedappropriately.Keepinmindthatmanyskincancerscanbepreventedbyminimizingexposuretotheharmulraysothesun.Asweallenjoythewarmthosummeritisimportanttorememberthatweneedtoenjoythesuninasaeandresponsibleway.thebigCWhathappensfiamdagnosedwthskncancerDr.RichardLangleyisaprofessorandDirectorofResearchintheDivisionofDermatologyDepartmentofMedicineDalhousieUniversityandPresident-electoftheCanadianDermatologyAssociation.Hehasreceivednumerousawardsforteachingresearchclinicalpracticeandvolunteeractivities. Whentakenasprescribedmedicationscanhelpaddressillnessandrelievepainanddis-comort.Manydrugsalsohavesideefectshoweverandwithsomeyoumayndthatyourskinismoresensitivetothesun.Thismeansthatwhenthedrugisinyourbodyitreactstoexpo-suretoultravioletlightcausingasunburnorskinrash.Yourskincanburninlesstimeandwithlessexposuretothesunleavingyouatgreaterriskorskincancer.WhathappensifItakethesemedicationsandgootinthesnHowyourskinwillreactdependsoneachindividual.Somemayhaveseverereactionswhileothershaveamildreactionornoreactionatall.Iyourbodydoeshaveareactionitmayrespondinoneotwowaysyoucouldhaveaphototoxicreactionoraphotoallergicreaction.Aphototoxicreactioncanoccurwithinhoursotakingthemedication.Itotenlookslikeasunburnanditappearsonlyinareasosun-exposedskin.Itmayormaynotbeitchy.Inextremecasesblistersmaybreakout.Photoallergicreactionsaremorerare.Theseappearlateruptothreedaysaterbeingexposedtothemedication.Thetimelagisbecausetheimmunesystemneedstimetorampupanattackagainstthecombinationothemedicationandsunexposure.Photoallergicreactionsresembleeczemawatchoritchingredbumpsscalingandoozingle-sions.Thesereactionsoccuralloverthebodynotjustonsun-exposedskin.Likeotherallergiesphotoallergicreactionstendtohappeninpeoplewhohavebeenexposedtothemedicationbeore.Theyaremostcommonlycausedbytopicalmedicationscreamsorointmentsandingre-dientsoundincosmetics.Theimportantthingistobeawareotheriskandtakeprecautions.IfIhaveaeactionwhatistheteatmentTreatmentdependsontheseverityothereaction.Inmanycasesyoucantreatthereactionusingcoldcompressesorahydrocortisonecreamtoreduceanypainorswelling.Mildphototoxicreactionsareotenresolvedinaweekorless.Itisbesttodiscusstreatmentoptionswithyourdermatologistoramilydoctor.WhatkindofmedicationsbingonthissnsensitivityAlistosomeothecom-monphotosensitizingdrugsisincludedbelow.Inclinicaltestsmedicationsthatincludeheartmedicationsantidepressantsantimalarialsandthepainreliev-eribuproenhavebeenoundtocausephotosensitivity.Notethatherbalmedicationscouldalsocausephotosensitivity.Itisbesttoaskapharmacistaboutyourmedicationtoseeiyouneedtotakeextraprecautions.Istheeeallyaheight-enediskofskincanceifIamtakingoneofthesemedicationsResearchershaveoundthatpeopleonsomephotosen-sitizingmedicationshadanincreasedriskonon-melanomaandmelanomaskincancerscomparedtopeoplenottakingthesedrugs.CanIstillgootsideYesbutiyouaretakingapho-tosensitizingmedicationextracareisneeded.BesuretoollowthebasicprecautionsSeekshadewhenpossibleandavoidthesunrom11a.m.to3p.m.whenthesunsUVraysareattheirstrongest.Wearprotectiveclothing.Slaponabroad-brimmedhatandpickclothesthathavedenselywovenabricsorextrasunprotection.Wearabroad-spectrumsunscreenwithanSPFo30orgreater.Useenoughsunscreenabouttwotothreetablespoonsonyourbodyandateaspoononyourace.Applysunscreenapproximate-ly15to20minutesbeoregoingoutsidetogiveittimetoproperlyabsorb.Reapplyeverytwohoursoraterswim-mingorsweatingheavily.Finallybeawarethatyoucouldstillbesensitivetothesunateryouhavenishedtakingthemedication.Checkwithyourdoctororpharmacistabouthowlongyoushouldbeextravigilantaboutsunprotectionasthisvarieswitheachkindomedication.Dr.GordonSearlesisthePresidentoftheCanadianDermatologyAs-sociationClinicalAssociateProfes-sorofMedicineattheUniversityofAlbertaandtheManagingDirectoroftheKeystoneDermatologyInstituteinEdmontonAlberta.18SUMMER2013myskinQADgstopayattentiontoTheollowingdrugsaresomeothemostcommonmedicationsthatcauseincreasedsensitivitytothesunAnti-inammatoriesNaproxene.g.AleveMidolNaprelanPiroxicame.g.DolonexFeldeneAntibioticsTetracyclinee.g.PanmycinSumycinTetracynDoxycyclinee.g.MicrodoxVibramycinNalidixicacide.g.NeggramNevigramonWintomylonAntifungalsVoriconazolee.g.VendDiureticsHydrochlorothiazidee.g.Apo-hydroAquazideHDichlotrideAntiarrhythmicsAmiodaronee.g.CordaroneNexteroneAntipsychoticsChlorpromazinee.g.LargactilMegaphenThorazineThioridazinee.g.MellarilNovoridazineThiorilFEATurEAeyomedicationsmakingyomoesn-sensitiveByDr.GordonSearles Climaticaggressionsunsuitablecosmetics...SkinrecoverycreamHelpingmyskintoprotectitselfRapidlycalmsirritationLong-lastingprotectionEverythingaboutsterilecosmeticsPARCERINESPECIFICINGREDIENTSkinRecoveryCreamisnowenrichedwithParcerineapatentedingredientthatdecreasesskinreactivity.ByrapidlysoothingtheirritationandrestoringthehydrolipidicfilmParcerineguaranteesanefficientlong-lastingprotectionandcomforttotheskin.EauThermaleAvneistheonlybrandthatofferssterilecosmeticstheinnova-tionthattrulyguarantees0preservatives0paraben0fragranceand0alcoholforunequalledsafetyandefficacyforhypersensitiveandirritatedskin. 20SUMMER2013myskinWithoneinsixCanadiansexpectedtodevelopskincancerintheirlietimeskincanceristhemostcommontypeocancer.Yetitisalsooneothemostpreventable.Theprimaryenvironmentalcauseoprematureskinagingandmostskincancersisultra-violetUVradiationromsunexposure.UVradiationiscom-posedothreewavelengthsUVAUVBandUVCowhichUVA320-400nmandUVB290-320nmraysarespeci-callycarcinogenic.SunscreensareanintegralelementorsunprotectionsincetheyworkbyabsorbingorrefectingUVradiation.TherearetwomaintypesosunscreensorganicchemicalwhichabsorbUVradiationandinorganicphysicalsuchastitaniumdioxideorzincoxidewhichphysicallyblockUVradiation.Manysunscreenscombinebothchemicalandphysicalingredientsandtheyareavailableinavarietyoormsincludinglotionsgelsandsprays.LearningabouttheollowingkeysunscreeneaturescanhelpyoumakethebestchoiceorstayingsaeinthesunSPFstandsorSunProtectionFactorandindicatessun-screeneectivenessagainstUVBrays.ThereisincrementalprotectionwithhigherSPFanddermatologiststypicallyrecommendusingasun-screenwithanSPFoatleast30whichblocks97percentoUVB.SPFdoesnotindicateUVAprotectionorthatthesunscreenisbroadspectrum.SunscreenslabelledbroadspectrumoerprotectionagainstbothUVAandUVBraysandarethereorethebestchoice.Acriticalwave-lengthoatleast370nmisalaboratorymeasureobroad-spectrumprotection.Thephotostabilityosun-screensreerstotheirstabilityuponexposuretosunlight.Water-resistantsunscreensmaintaintheirSPFprotectionlevelater40to80minutesowaterimmersionasdeter-minedbylaboratorytesting.Sunscreensshouldideallybenon-comedogenicwhichmeanstheywontblockporesnon-irritatinghypoal-lergenicandminimallyornon-perumed.TheU.S.FoodandDrugAd-ministrationrecentlyadoptedmorestringentregulationsaboutlabellingsunscreensandestablishingstandardsortestingtheeectivenessosun-screenproducts.HealthCanadaisalsointheprocessorevisingitssunscreenmonograph.TheCanadianDermatologyAssociationCDASunProtec-tionProgramscienticallyevaluatessunscreensthroughindependentlaboratorytestingandCanadiansareencouragedtolookortheCDAlogowhenpurchasingsunscreens.TheCDArecommendsthatabroad-spectrumprovidingUVAandUVBprotectionandhighSPF30sunscreenbegener-ouslyandevenlyappliedtotheskinapproximately15to20minutesbeoresunexposure.Itshouldthenbereappliedeverytwohoursormorerequentlyiyouareswimmingorsweat-ing.Ingeneralyouwillneedabouttwotothreetablespoonsosunscreentoadequatelycoverthebodysskinsuraceandateaspoonosunscreenisneededortheace.Dermatologistsencour-agetheuseosunscreenorchildrenolderthansixmonthswhileusingothersunprotec-tivemeasuresoryoungerinants.Keepinmindthatsunscreenisonlyoneothemanywaystoensureoverallsunsaety.Otherstrategiesincludestayingoutothesunduringpeakhoursrom11a.m.to3p.m.seekingshadeandwearingsun-protectiveclothingandsunglasses.Includ-ingsunscreenaspartoyoureverydayroutinewillnotonlysaveyourompainulsunburnsitwillmostimportantlyreduceyourriskodevelopingskincancer.Dr.AnatoliFreimanisChairoftheCanadianDermatologyAssociationSunProtectionProgramandMedicalDirectoroftheTorontoDermatologyCentretorontodermatologycentre.com.Learningaboutkeysunscreenfeaturescanhelpyoumakebetterchoicesforstayingsafeinthesun.Sunscreen101EverythingyouneedtoknowByDr.AnatoliFreimanresource1.HaveanSPFo30orhigher.2.Oerbroad-spectrumUVAUVBprotection.3.Behypoallergenicandnon-comedogenicsoitwontclogmypores.WhenindoubtlookortheCDASunProtectionProgramlogo.cheklistmysunsreenshould... SUMMER2013myskin21EarnedrecognitionAveenoActiveNaturalsProtectHydrateSPF30AveenoActiveNaturalsProtectHydrateSPF45AveenoActiveNaturalsProtectHydrateSPF60AveenoActiveNaturalsSensitiveSkinSPF30AveenoBabySensitiveSkinSPF50AveenoBabySensitiveSkinMineralSunscreenSPF50AveenoBabySunscreenLotionSPF55AveenoKidsSensitiveSkinMineralSunscreenSPF50AveenoSensitiveSkinMineralSunscreenSPF50AvneHighProtectionEmulsionSPF40AvneHighProtectionLotionSPF40BananaBoatBabyTearFreeSunscreenLotionSPF60BananaBoatKidsTearFreeSunscreenLotionSPF60BananaBoatUltraDefenseSunscreenSPF30BananaBoatUltraDefenseSunscreenSPF60CoppertoneGeneralProtectionSunscreenLotionSPF60CoppertoneKidsSunscreenLotionSPF60CoppertoneOilFreeSunscreenLotionSPF30CoppertoneOilFreeSunscreenLotionSPF60CoppertoneSportSunscreenLotionSPF30CoppertoneSportSunscreenLotionSPF60CoppertoneSportSunscreenLotionFaceSPF60CoppertoneWaterBabiesSunscreenLotionSPF60ExactCoolingandRefreshingClearContinuousSpraySunscreenSPF45HawaiianTropicSensitiveSkinFaceSunscreenSPF30HawaiianTropicSheerTouchLotionSunscreenSPF30HawaiianTropicSheerTouchLotionSunscreenSPF45HawaiianTropicSheerTouchLotionSunscreenSPF60HawaiianTropicSheerTouchOil-FreeSunscreenSPF85IDCSPF30IDCSPF50LaRoche-PosayAntheliosDermo-KidsVelvet-SoftLotionSPF45LaRoche-PosayAntheliosDry-TouchSpraySPF45LaRoche-PosayAntheliosMelt-inCreamSPF45LaRoche-PosayAntheliosTargetedProtectionStickSPF60LaRoche-PosayAntheliosUltra-FluidLotionSPF60FaceLaRoche-PosayAntheliosXLMelt-inCreamSPF60LaRoche-PosayHydraphaseUVSPF30LifeBrandSunthera3BabySPF60LifeBrandSunthera3KidsSPF50ContinuousSprayLifeBrandSunthera3LipBalmSPF30LifeBrandSunthera3SPF30LifeBrandSunthera3SPF30SunProtectionLotionFaceLifeBrandSunthera3SPF60LifeBrandSunthera3SPF60ContinuousSprayLifeBrandSunthera3SPF60SunProtectionLotionFaceLifeBrandSunthera3SunscreenStickSPF60FaceLifeBrandSunthera3SportSPF30ContinuousSprayNeutrogenaAgeShieldFaceSunscreenSPF60NeutrogenaBeachDefenseSPF30SunscreenLotionNeutrogenaBeachDefenseSPF60SunscreenSprayNeutrogenaBeachDefenseKidsSPF60SunscreenLotionNeutrogenaHealthyDefenseDailyMoisturizerSPF30NeutrogenaHealthyDefenseDailyMoisturizerSPF45-UntintedNeutrogenaPureFreeBabySunscreenLotionSPF50NeutrogenaUltraSheerDryTouchSunscreenSPF30NeutrogenaUltraSheerDry-TouchSunscreenSPF55NeutrogenaUltraSheerDry-TouchSunscreenSPF70NeutrogenaUltraSheerDry-TouchSunscreenSPF110NeutrogenaUltraSheerFaceSunscreenSPF45NeutrogenaUltraSheerFaceSunscreenSPF60NeutrogenaUltraSheerWater-LightDailyFaceSunscreenLotionSPF60OlayCompleteDefenseDailyUVMoisturizerSensitiveSkinSPF30OmbrelleFaceCreamXLSPF30OmbrelleFaceCreamXLSPF45OmbrelleFaceCreamXLSPF60OmbrelleFaceStickXLSPF60OmbrelleKidsProtectionMilkXLSPF60OmbrelleKidsSPF30LotionOmbrelleKidsSPF45LotionOmbrelleKidsSPF30LotionSensitiveSkinOmbrelleLipBalmAnti-DryingTransparentSPF30OmbrelleLotionSPF30OmbrelleLotionSPF45OmbrelleExtremeLotionSPF30OmbrelleMulti-PositionsSportClearSpraySPF60OmbrelleProtectionMilkXLSPF60OmbrelleSportGelSPF30OmbrelleSportLotionSPF30OmbrelleSportLotionSPF45OmbrelleSportSpraySPF30PresidentsChoiceSPF30SportSunscreenLotionPresidentsChoiceSPF30SunscreenContinuousSprayPresidentsChoiceSPF30SunscreenLotionPresidentsChoiceSPF50SunscreenContinuousSprayPresidentsChoiceSPF50SunscreenLotionPresidentsChoiceSPF60KidsSunscreenContinuousSprayPresidentsChoiceSPF60KidsSunscreenLotionPresidentsChoiceSunblockLotionSPF30RoCSoleilProtexionInvisibleTouchSPF30RoCSoleilProtexionInvisibleTouchSPF45RoCSoleilProtexionSunLipstickVelvetMoistureSPF20RoCSoleilProtexionVelvetMoistureSprayLotionSPF30RoCSoleilProtexionVelvetMoistureSprayLotionSPF60VichyCapitalSoleilSunProtectionCreamXLSPF30VichyCapitalSoleilSunProtectionCreamXLSPF45VichyCapitalSoleilUltra-FluidSunProtectionXLSPF30VichyCapitalSoleilUltra-LightLotionSPF50VichyCapitalSoleilFaceandBodyLotionSPF50VichyCapitalSoleilSunscreenCreamSPF60VichyCapitalSoleilUltraProtectionSunblockStickSPF60RecognizedReconnuSunProtectionProtectionsolaireSensitiveskinCategoryBabyChildrensportThefollowingsunscreensandotherproductsarerecognizedbytheCanadianDermatologyAssociation 22SUMMER2013myskinJackieConnorsa39-year-oldnurseinSt.JohnsNewoundlandstartedusingtanningbedsinherteensbecausetanswereinandeverybodywasdoingit.Idontrecallanyoneatourgraduationwhowasnttannedsheadds.Iusedtanningbedseveryotherdayoraboutouryears.Iwenttotwoorthreedierentsalonstogetasmuchtimeaspossible.Itwasdenitelyaddictive.Atage20whileatnursingschoolConnorslearnedaboutthesignsoskincancerinclud-ingthemostdangerouskindmelanoma.Averydarkirregularraisedspotonherlegthatbledatershavingrangalarmbells.Aterthespotwasremovedtheconrmeddiagnosisocan-cerwascompletelydevastatingsaysConnors.Sheunderwenturthersurgerytoremoveawidemarginoskinaroundthecancerouslesion.Theblondblue-eyedmotheroonehassinceundergonetreatmentortwomoremelano-masoneonherbacktheotheronherneck.BackatthedermatologistsofcewhereshenowworksConnorslooksoranyoppor-tunitytocounselparentsandteensagainstsunbeduseandtotellherstory.TheycantbelievewhatIvebeenthroughshesays.Ishowthemthescars.Myownparentsreallyregretthattheyletmeusetanningbedsbutnooneknewmuchaboutthemthen.Overthepastveor10yearsknowledgeaboutthedangersousingtan-ningbedshasreallygrown.Itsimportantthatpeoplendouttheactsaboutindoortanning.Dontlearnthehardway.Idontrecallanyoneatourgraduationwhowasnttanned.Iusedtanningbedseveryotherdayforaboutfouryears.Apictureofhealthfinalword FEELPROTECTEDWITHSUNTHERA3Discoverourlineofsuncare.LifeBrandPlatinumSunthera3Faceprotectswithabroadspectrumsunscreenthatsgentleandlightenoughtowearonyourfaceandneckeveryday.AvailableinSPF30or60LotionandSPF60ContinuousSpray.AllSunthera3productsarerecognizedbytheCanadianDermatologistAssociation.Onlyat CanadianDermatologists2012Survey.CosmeticingredientVitaminEtocopherolOmbrelleUltra-FluidLotionSunscreenSPF60NEWForwomenbyCanadiandermatologistsEasydailyapplicationUltra-lighttextureProtectyourfaceandyourbeauty.Idealundermake-upNon-comedogenicVitaminEForallskintypes