DR. FRANK RYAN

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Tuesday, August 15, 2006

Sunscreens

It is important to understand some basic principles behind sun exposure and ultraviolet radiation in order to understand what the various sunscreens on the market have to offer.

The sun's ultraviolet rays are measured over a spectrum of different wavelengths. Only some of the ultraviolet rays are harmful, namely those between 290 and 400 nanometers. Some of these rays are called UVB rays (290 to 320 nanometers) and some of these rays are called UVA rays (320 to 400 nanometers). The UVB rays are the rays responsible for a sunburn and they are partly responsible for skin cancers. The UVA rays don't cause a sunburn like the UVB rays, but the UVA rays penetrate deeper to damage the skin, leading to wrinkles, brown spots and other indicators of cellular damage. The UVA rays also cause skin cancers.

Many of my patients proudly say to me, "I wear an SPF 50 sunscreen." When I ask them what the ingredients are, 99% don't know. Unfortunately, SPF only refers to the UVB rays. 100% of the UVA rays could be going right through the sunscreen to damage the skin and cause skin cancers, even though one is wearing an SPF 50. Furthermore, the UVA rays penetrate glass and they are just as strong in the morning and afternoon as they are at noon. Luckily, most sunscreens today offer both UVA and UVB protection, but the amount of protection varies from sunscreen to sunscreen.

The best ingredients, in my opinion, are zinc oxide and titanium dioxide, since these substances block almost all of the harmful UV rays. Zinc oxide and titanium dioxide are known as sunblocks, not sunscreens, since they physically block the UV rays. Most other sunscreen ingredients react chemically with the UV rays, as opposed to physically blocking the rays. Therefore, these are called sunscreens.

A sunscreen that has been touted as one of the best for blocking UVA rays is avobenzone (Parsol 1789). However, it is not commonly known by the public that Parsol 1789 breaks down when it is struck by UV rays. Therefore, although Parsol 1789 is an excellent UVA sunscreen, it must be reapplied frequently throughout the day.

Something people always forget is the amount of reflective UV exposure that people get. Everyone realizes that water and snow reflect, but what about sand, concrete and grass?

Finally, many people think that wearing clothing is a fool-proof sunblock. However, anyone who went swimming as a child wearing a T-shirt to prevent sunburn knows that a wet T-shirt is about an SPF 1 or 2. The same applies to thin, gauzy material. Although these materials are cooler, a tightly woven fabric provides far more UV protection.

Thursday, August 03, 2006

Juvederm

Thursday, August 03, 2006
Juvederm

The FDA recently approved the filler Juvederm (hyaluronic acid) for use in the United States. Juvederm, which has been available in Canada for several years, is similar to Restylane, which was FDA-approved in the U.S. a few years ago. Restylane is made by Medicis and Juvederm is now made by Allergan, the makers of Botox, after Allergan bought out Inamed Corporation earlier this year.

Juvederm is used for the correction of facial wrinkles and folds and there are three formulations of Juvederm available, Juvederm 24HV, Juvederm 30HV and Juvederm 30. Each formulation is designed to correct different types of facial folds and wrinkles. At this point in time, there is only one Restylane formulation that is FDA-approved. However, other Restylane formulations such as Perlane and Restylane Fine-Lines are expected to be approved by the FDA shortly.

The obvious question: which product is superior? At this point, Restylane certainly has the longest track record of the two and Restylane has become the soft tissue filler of choice in the U.S. However, there is some anecdotal evidence that Juvederm may result in slightly less swelling than Restylane, but this has yet to be demonstrated in controlled studies.

For now, Juvederm is another filler to add to our armamentarium and the choice of three different formulations is a definite plus, at least until Restylane adds their other two formulations to the marketplace.
posted by Plastic Surgeon at 1:49 PM 0 comments