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"Skin and Sea"

Question and Answer part V

Andrea Cambio, MD
Dr. Andrea Cambio is a board certified dermatologist practicing in Cape Coral. She is a Fellow of the American Academy of Dermatology and treats adults and children.

In the upcoming months, I hope to write about some of the skin concerns of the nautical community- the boaters, the anglers and the like. No column of this type would be complete without talk of sun protection. Most of us (minus those who are in denial) know what a powerful star the sun is. We know that its rays are incredibly damaging to the skin. The United States Department of Health and Human Services has declared ultraviolet (UV) radiation from the sun as a known carcinogen (cancer-causing substance). This article is not meant to scare you. Look on the bright side (no pun intended): Sun exposure is the most preventable risk factor for skin cancer. So the question then becomes “How do I protect myself from the sun?” This is especially the case for the fishing and boating community who are exposed to the elements- sun and water every day.

While writing this inaugural column I chatted with a friend, Captain Charles Epranian of Triple Tails Charters based on Pine Island. Whether chartering a fishing trip, shelling or sightseeing for hire, he is on the water everyday- battling these elements. He is among good company- the many of us in Southwest Florida or neighboring barrier islands- doing what we do and love to do. When I asked him if he had any questions regarding sun protection, he coyly responded that he has repeatedly asked himself the same question. His answer to his and my question was quite silly at first, but nonetheless true: To completely protect you from the sun, do not go out in it, and for the avid boater or angler, that means to “Fish or boat at night.” Of course, for the majority of us this is not feasible. So we do our best. We go out during daylight with all of our gear- our heads donning hats and faces slathered in whatever sunscreen was on sale. We love the water and sun and at times perspire profusely (especially when fighting that 100 plus pound tarpon- or the like). As a result, we lose any sun protective lotion we may have applied that day.

So for those of us who are not willing to fish only at night and are unsuccessful at keeping protected during the day, I have compiled a list of recommendations for personal sun safety. Many of us already know all about this stuff, and are in compliance. For those of us who are in denial and for the occasional rebel- you know who you are, hopefully you will learn a thing or two and make some changes for the better.

The first thing to do, about 20 minutes before leaving your house, is to generously apply sunscreen to all exposed skin using a Sun Protection Factor (SPF) of at least 15 that provides broadspectrum protection from both ultraviolet A (UVA) and ultraviolet B (UVB) rays. Look for the AAD Seal of Recognition on products that meet these criteria.

As for all fishing supplies, know where your sunscreen is at all times. Always put it back in the same position. When applying sunscreen, pay particular attention to the face, ears, hands and arms, and generously coat the skin that is not covered by clothing.

One ounce, enough to fill a shot glass, is considered the amount of (SPF15 or higher) sunscreen needed to cover all the exposed areas of the body properly. Reapply a minimum of every two hours, even on cloudy days. Waterproof sunscreens are the way to go because: boat plus sun equals sweat. Pick your vehicle- if it makes it easier to apply, go with a spray on formulation. Sunscreen in a stick form works really well for faces. It doesn’t usually drip into and sting the eye area. These sticks are great for lips too.

Unless indicated by an expiration date, the U.S. Food and Drug Administration (FDA) requires that all sunscreens be stable at their original strength for at least three years. However, if you are using the correct amount, a bottle of sunscreen should not last very long. So for all of us- this translates into, “Buy in bulk.” Wear sun protective clothing such as long-sleeved shirts, long shorts, hats with wide brims and sunglasses. If you are not aware, there is some very lightweight breathable sun protective gear made especially for us outdoor enthusiasts.

Seek shade when appropriate, remembering that the sun’s rays are strongest between 10 am and 4 pm.

Check your birthday suit on your birthday with a board-certified dermatologist. If you notice anything changing, growing or bleeding on your skin, see a dermatologist as soon as possible. Skin cancer is very treatable when caught early.

I hope you have found the above information useful. I anticipate addressing more specific issues in the future such as early detection of skin cancers and pre-cancers, common skin problems found in the nautical community and any skin questions you may have.

- Dr. Andrea Cambio
Advanced Dermatology and Cosmetic Surgery
Andrew’s Professional Center
316 Del Prado Blvd. S. Suite 201
Cape Coral 829-7102
dracambio@gmail.com

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