SPORTS AND THE SKIN Fit in the Sun: What Experts Use and Recommend

Dermatologists share their favorite products to protect against UV and more. WITH H. L. GREENBERG, MD; ELIZABETH HALE, MD; JULIE K. KAREN, MD; LILY TALAKOUB, MD; DEIRDRE HOOPER, MD; AND JOEL L. COHEN, MD

The sheer number of formulations avail- Favorite and sun protective interventions >> able to patients can be both a blessing and a curse. when active outdoors: I never exercise outdoors without For its most recent sunscreen rating, Consumer Reports sunscreen and sun protective , a hat, and sunglass- looked at 48 formulations, but that doesn’t account for the es. On my face I like a -based sunscreen, and I like full range of products in store aisles. Patient/consumers need Vacation Classic Lotion for my body. I spin and run in Under to choose products that work and that fit their lifestyle and Armour long sleeve UPF 50 shirts and hats. Recently a friend activities—especially when they are going to be exercising introduced me to BloqUV shirts, which keep me cool on or playing sports outdoors. And when it comes to outdoor longer training runs. fitness, sunscreen is just the starting point. UPF clothing and Additional recommendations: I’ve started taking Isdin’s other skincare are essential. SunIsdin vitamins for an extra layer of protection and use Practical Dermatology® magazine reached out to active der- Neova DNA repair to moisturize after sun exposure to repair matologists across the country to find out what products they some of the damage. use and what recommendations they make to their patients. Other tips: I never do a long run without Body Glide anti- chafe stick and SPF lip balm. H. L. Greenberg, MD Founder, Las Vegas Dermatology Activities: I love to run; usually before the sun comes up or at sunset. Favorite sunscreens and sun protective inter- ventions when active outdoors: I like the phys- ical blockers—zinc oxide and . We sell EltaMD in the Las Vegas Dermatology office and have a private-label LVDerm Topix sunscreen. Why? Because the physi- cal blockers don’t get in my eyes and do a great job. Additional recommendations: We sell Bioderma Atoderm cream in the office and Cetaphil cream to support healthy skin. Other tips: I recommend avoiding mid-day sun and using a hat to keep the sun off your head and face.

Elizabeth Hale, MD Complete Skin MD, New York City Activities: I work out every morning before the office, and as much as possible I take my workouts outside. I enjoy roof- top outdoor spinning at Comeback Cycle and long runs in Central Park. Drs. Karen and Hale ran the New York City Marathon.

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Julie K. Karen, MD Complete Skin MD, New York City Activities: Running, beach bootcamp, watch- ing my kids’ sports Favorite sunscreens and sun protective interventions when active outdoors: Broad- spectrum, water-resistant sunscreen. I like EltaMD UV Sport for face and body and La Roche-Posay Melt-in Milk SPF. Apply generously. I also wear long sleeve UPF clothing and a Nike Dri-Fit Swoosh Perforated hat. It has a bigger brim than most baseball caps and keeps me cool. I also wear UV Protective glasses. Additional recommendations: For sports spectating, I recom- mend Parasun, a compact parasol that blocks 98-99 percent SUNSCREEN, KIDS, AND SPORTS: of UV rays. Other tips: Isdin’s SunIsdin daily supplement is rich in anti- AN OPPORTUNITY oxidants and carotenoids to neutralize free radical damage Spring, summer, and fall sports help children and adolescents get fit, hone and also contains polypodium leucotomos, which helps their athletic skills, and learn lessons about setting and meeting goals. They also to confer a baseline sun protection factor, automatically often have kids spending hours outdoors where they are exposed to UV, and it’s enhancing baseline protection. Don’t forget to reapply!! essential that children learn to protect their skin. For kids, UV protective clothing is a must, says Amy Brodsky, MD, who notes that Lily Talakoub, MD UPF-rated items offer UV shielding without the risk of wearing off. Sunscreen is also Founder, Derm to Door and Owner, important, and child athletes should cover all sun-exposed skin anytime they will Mclean Dermatology and Skincare be outdoors. Center, McLean, VA One effective way to reach kids with a UV-safety message is through their Activities: Tennis, skiing, beach activities sports teams. Dermatologists can reach out to local leagues and community cen- like paddleboarding ters with an offer to speak to their athletes about being sun safe. The Sun Hero Favorite sunscreens and sun protective interventions campaign, launching this fall, will provide resources to help dermatologists reach when active outdoors: SkinKure Tinted Mineral SPF 50. It young people in a meaningful way (See the News section for more). is pure mineral sunscreen with a SPF 50, which protects “Habits start early, and when it comes to UV safety, we want kids to develop against UVA and UVB rays and for my darker complexion it good habits,” Dr. Brodsky says. “If we approach them with information on their does not go on white and blends right into my skin. When I sweat it also doesn’t burn my eyes. level and make the message fun, then we can make a difference.” Additional recommendations: I use a SkinKure vitamin C as Plus, when education is targeted to a group, peers can make UV safety a well to help prevent dark spots in the summer. shared goal and provide support to one another. Other tips: I recommend a vitamin C and a gentle retinol When it comes to choosing a sunscreen for kids, youngsters and their parents at night. These fight free radicals and help prevent against don’t have to reach for the most expensive products—after all, if they use sun- pigmentation. screen properly, they’ll use quite a bit. Dr. Brodsky suggests that families, “Find a formulation the kids will actually use, whether it’s a lotion, cream, or stick. Deirdre Hooper, MD Sprays can be an option, too, but there are concerns about ensuring that enough Audubon Dermatology, New Orleans product is applied to the skin.” Activities: I grew up riding hors- es and now my daughter rides as well. the Isdin SunIsdin vitamins, which contain polypodium leu- We try to ride together once a week. I cotomos to boost my sun protection. I really think the most love nature and running, so when the weather and scenery important interventions are hats and sun protective cloth- are right, I love to run outside—especially when traveling! ing, so you will rarely see much skin uncovered on me! I live Favorite sunscreens and sun protective interventions in New Orleans, so it is imperative to find cooler options. EIS when active outdoors: When I am exercising outdoors, my is an equestrian centered company that makes a great cool favorite sunscreen is Elta Sport 50. I usually layer Supergoop! shirt and Coolibar has the best hats. CC Cream on my face to help avoid melasma. I always take (Continued on page 40)

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(Continued from page 38) NCAA ENCOURAGES UV SAFETY FOR ATHLETES The NCAA, which partnered with the ADD on the Spot Skin Cancer campaign, includes recommendations on UV safety for collegiate athletes through The NCAA Sport Science Institute. Among their tips: • Apply a broad-spectrum (UVA and UVB) sunscreen with an SPF of 30 or higher before going outdoors. Generously apply a golf ball-sized amount (palm full) of sunscreen to cover the entire body evenly (including neck, ears, and lips). • Reapply sunscreen every two hours or as indicated by activity. • Sunscreen or hats for those with thin or thinning hair. • Be aware of UV risks on cloudy days, recognize that UV passes through glass and some clothing, and be aware of reflective surfaces. • Seek shade. • Wear a wide-brimmed hat to shade the face, head, ears, and neck (at least a 2- to 3-inch brim all around is ideal). • Wear . • Avoid tanning beds or other artificial sources of UV light. • Maintain proper hydration.

Additional recommendations: Always: topical antioxidants. Vitamin C+ Correcting from Revision in the morning and Skinceuticals Resveratrol at night. If you don’t like the heavier mineral sunscreen, I love Supergoop’s giant pump to quickly cover arms and legs.

Joel L. Cohen, MD AboutSkin Dermatology and DermSurgery, Greenwood Village and Lone Tree, CO Activities: I love to ski and mountain bike. Both have helmets, but you still need to optimize sun protec- tion—especially with high altitude sun exposure (where there is more UV penetration than lower altitudes). When I motorcycle on dirt bike trails with a helmet that has a full-face shield, some- how dirt and debris always cover my face when I finish. Favorite sunscreens and sun protective interventions when active outdoors: Personally, I like Sente Invisible Shield and Elta Clear as my go-to sunscreens. When I am ski- ing or mountain biking, I prefer the Elta with the pump—as the bottle holds up to nasty falls better than tubes (which have opened-up on me from the pressure of the fall). Additional recommendations: I like the PCA hydrating mask to help me recover from the dryness of a day skiing or mountain biking, followed by Sente Dermal Repair Ultra Nourish at bedtime. Other tips: I wear a balaclava under my ski helmet—which covers my face—and I make sure to use lip balm sunscreen. n

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