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Sun Damaged SkinAka: Photodamaged skin, Aging Skin

Prevention
1. Sunscreen
  1. SPF 15 daily, starting in childhood
  2. SPF 30 during spring and summer
2. Tobacco Cessation
Topical Agents
1. Tretinoin (Retinoic Acid, Vitamin A Acid, Retin A)
  1. Start: 0.025% Cream 1-2 times per week qhs
  2. See Retin A for adverse effects
    1. Must wear Sunscreen qd
2. Alpha-Hydroxy acids (Lac-Hydrin 12%) or Urea 3-6%
Other Adjuncts
1. Estrogen Replacement Therapy
2. Topical Estrogen
3. Antioxidants
  1. Vitamin C (questionable efficacy)
  2. Vitamin E
Advanced Methods
1. Chemical Peels
2. Derm Abrasion
3. Laser Abrasion

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This page was written by Scott Moses, MD. This page was last revised before 5/10/08, prior to consistent tracking of revision date. This page was last published on 5/10/2008. Please send comments and questions to the editor. Contact information may be found on the page About the Family Practice Notebook. These pages are best viewed with Microsoft Internet Explorer 6.0.