Skin and Hair Archive

A silicone-based product applied under the eyes can reduce the appearance of bags.

Sun protection is essential whenever you are outdoors. Self-tanning products offer a safe alternative for attaining that sun-kissed look.

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Gone are the days when we were urged to soak up the rays to get a healthy glow and absorb the "sunshine vitamin." Decades of medical research have determined that sun exposure causes skin cancer and that a nutritious diet and supplementation are reliable ways to obtain the vitamin D essential for good health. In other words, there is no good reason to expose your skin to the sun's ultraviolet (UV) radiation.

There is no such thing as a healthy suntan. "A tan is a response to DNA damage," says Dr. Barbara Gilchrest, a dermatologist at Harvard-affiliated Massachusetts General Hospital. Such damage is instrumental in the development of skin cancer, and it also accelerates skin aging. "Some women may tan well for many years, but eventually the skin quality will change, become leathery, develop lentigenes ["age spots"], and then coarse wrinkling," Dr. Gilchrest says. If you're a lifelong tanner, compare the skin on the underside of your upper arm or buttocks to a tanned area, and you'll see evidence of the changes wrought by UV radiation.

Men may not be doing all they need to protect themselves from sun damage and skin cancer.

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Proper protection against skin cancer continues to be relevant once a man hits age 65. "Unfortunately, ultraviolet [UV] exposure and damage is cumulative over our lifetimes," says Dr. Joseph Merola, a dermatologist with Harvard-affiliated Brigham and Women's Hospital. "There is no safe age at which we can put down the sunscreen or stop thinking about sun protection."

Even if men are aware of the dangers of sun exposure, new research shows most do not follow basic guidelines. A study published June 17, 2015, in JAMA Dermatology found that only 14.3% of men surveyed reported they regularly use sunscreen. The study also found that men were more likely than women to never use sunscreen—43.8% of men compared with 27% of women—and perhaps most telling, only 7% knew what to look for on a sunscreen label.

Ask the doctor

Q: I have developed numerous small, thin veins over my legs. I would like to get rid of them. What is the most effective treatment?

A: Dilated superficial veins, known as reticular or "spider" veins, are a common problem as men get older. The preferred treatment is sclerotherapy, but laser therapy is gaining popularity. Sclerotherapy involves injecting fluid into the veins with a small needle. This liquid causes irritation and inflammation of the vein, leading to its collapse. Laser therapy uses intense pulsed light to cause heat-related damage to the veins. Both treatments involve some discomfort. Wearing compression stockings afterwards appears to help improve outcome.

Shingles is a painful neurological condition that is more likely to attack as people age. Left untreated, it can increase risk for chronic pain, blindness, and other long-term health problems.

Ask the doctor

Q . I am 68 and in excellent health. I eat a healthy diet, exercise every day, and do not drink or smoke. I'm on no medicines. The only pill I take is vitamin D. But I'm wondering: is there any benefit in that?

A. In a nutshell, here's what we know. Our skin makes most of the vitamin D in our bodies after exposure to sunlight. Because most of us are indoors most of the 24 hour day, many of us have relatively low blood levels of vitamin D.

The best way to prevent skin cancer is to use sunscreen to reduce lifetime exposure to the sun's damaging rays. But some men may not be heeding the gospel of sun protection, according to a report in the Journal of the American Academy of Dermatology.

Analysis of data from a 2013 national survey showed that less than 15% of men, compared with 30% of women, said they regularly used sunscreen on both the face and other exposed areas, such as the back, arms, and legs.

If a growth or mole looks like a melanoma, the doctor will take a biopsy to confirm the diagnosis. This entails removing either a sample of tissue or else the entire growth and some surrounding skin, and examining the tissue under a microscope to determine whether it's cancer. Depending on how deep a melanoma is, additional tissue may have to be removed. In some cases, lymph nodes may be removed, too. A procedure called sentinel node biopsy can show whether the lymph node nearest the tumor contains any cancer cells. If it does, surgery to remove additional nodes right away can improve survival.

In addition to surgery, treatments for melanoma include immunotherapy (which strengthens the immune system against the cancer), chemotherapy, and radiation therapy. Newer, so-called targeted treatments include drugs that target specific genetic changes seem in people with certain forms of melanoma. For example, about half of melanomas have genetic changes (mutations) in a gene called BRAF, which signals melanoma cells to grow and divide quickly. Drugs that inhibit BRAF, such as vemurafenib (Zelboraf ) and dabrafenib (Tafinlar), and related proteins are now available.

Wear sunscreen, and avoid direct exposure to the sun.