How is Sun Damaged Skin Treated?
Sun-damaged skin can be greatly improved with a multimodal treatment approach.
The aims are:
Cosmetic
Have overall better quality skin, which looks younger and healthier.
Medical
Focus directly on specific sun-related skin lesions, which may be benign but unsightly or suspicious of a pre-cancerous or cancerous lesion.
Depending on your skin and its level of damage, the treatments to improve sun-damaged skin include:
CREAMS AND PEELS
Sun protection: Apply a broad-spectrum sunscreen with a high SPF providing effective protection against UVA and UVB rays. For the face use a light consistency sunscreen which does not sting the eyes when applied lightly all over the face. There are excellent sunscreens available that are light and do not make you look white like Casper the Ghost but are more akin to a daily moisturiser. Always look for broad spectrum against UVA and UVB and apply daily to the face and backs of hands.
Use sunscreen with additional protection, including hats, umbrellas, and car window protection, and avoid high sunshine between 11 a.m. and 3 p.m.
Learn how to put on sunscreen correctly. Sunscreen should be applied every day, all seasons, as sun damage can occur on cloudy days and in winter in the Northern Hemisphere, including on the lips, neck and ears.
Topical prescription retinol cream: This cream or gel treats photo-aged skin, fine wrinkles, and discolouration. It can improve the appearance of the skin, increase collagen production, and provide a healthier and more youthful glow.
Chemical peels: TCA (trichloroacetic acid) peels, with a concentration of 20-30%, can help reverse solar lentigines, improve skin texture, and reduce fine wrinkles. They provide a superficial-depth epithelial peel.
LIGHT TREATMENTS
Intense Pulsed Light (IPL): Intense pulsed light is a non-laser light treatment used for redness and pigmentation on the face and hands for age changes and sun-damaged skin. IPL can also be used on focal lesions such as Seborrheic Keratoses, which are both age and sun-related, and sun spots and solar lentiges.
LASER ResurFX: This non-ablative laser is suitable for rejuvenating sun-damaged skin, smoothing and improving facial dyschromia and fine wrinkles, and improving the tired, sallow look of sun-damaged skin. It is called a non-ablative laser because the depth of treatment and downtime are much less than those of an ablative laser.
ULTRASONIC TIGHTENING
Ultherapy is an FDA-approved nonsurgical facelift that tightens and elevates skin. It increases collagen and tightens and reduces wrinkles caused by sun damage. However, it does not address dyschromia or sun spots.
In addition to these treatments, various other options are available, such as diet, lifestyle adjustments, chemical peels, hyaluronate fillers, biostimulation injections (Sculptra), antiwrinkle injections, ProfHilo injections (liquid moisturiser), eyelid oculoplastic surgery, blepharoplasty, and an incisional or excisional biopsy of sun-related skin tumours.
A comprehensive approach to sun-damaged skin treatment often includes a combination of these methods, along with daily sunscreen use and regular follow-up care. Consulting with a dermatologist or ophthalmic plastic surgeon can help you determine the most suitable treatment plan for your needs.