Journal
JOURNAL OF THE AMERICAN ACADEMY OF DERMATOLOGY
Volume 84, Issue 5, Pages 1393-1397Publisher
MOSBY-ELSEVIER
DOI: 10.1016/j.jaad.2020.04.079
Keywords
iron oxide; photoprotection; tinted sunscreen; titanium dioxide; ultraviolet light; visible light
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UV radiation and visible light have biologic effects on the skin, with visible light causing erythema and pigmentation. Broad-spectrum sunscreens protect against UV radiation but not visible light. Tinted sunscreens use different formulations to provide protection against visible light for various skin types, making them beneficial for conditions such as photodermatoses and hyperpigmentation disorders.
Ultraviolet radiation and visible light both have biologic effects on the skin. Visible light can induce erythema in light-skinned individuals and pigmentation in dark-skinned individuals. Broad-spectrum sunscreens protect against ultraviolet radiation but do not adequately protect against visible light. For a sunscreen to protect against visible light, it must be visible on the skin. Inorganic filters (also known as mineral filters), namely, zinc oxide and titanium dioxide, are used in the form of nanoparticles in sunscreens to minimize the chalky and white appearance on the skin; as such, they do not protect against visible light. Tinted sunscreens use different formulations and concentrations of iron oxides and pigmentary titanium dioxide to provide protection against visible light. Many shades of tinted sunscreens are available by combining different amounts of iron oxides and pigmentary titanium dioxide to cater to all skin phototypes. Therefore, tinted sunscreens are beneficial for patients with visible lighteinduced photodermatoses and those with hyperpigmentation disorders such as melasma and postinflammatory hyperpigmentation.
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