How to Prevent Melanoma: 6 Tips

6 Tips to Prevent Melanoma: Reducing Sun Exposure and Damage Is Key

6 Tips to Prevent Melanoma: Reducing Sun Exposure and Damage Is Key
Everyday Health
There is no 100-percent effective way to prevent melanoma, the most serious form of skin cancer, but there’s a lot you can do to lower your risk. Most strategies aimed at preventing melanoma are geared toward reducing sun exposure and preventing sunburns and the damage they cause.

People who are already at higher risk because of factors beyond their control — they have pale skin that burns or freckles easily, say, or a family history of melanoma — should follow these protective measures with extra care.

1. Seek Out Shade

About 86 percent of melanoma cases are caused by ultraviolet (UV) exposure from the sun, and the UV rays from indoor-tanning devices are also a significant risk factor.

There are many ways to protect yourself outside. The best overall strategy generally involves combining a number of different methods.

Finding shade, especially between the peak UV hours of 10 a.m. and 4 p.m., can go a long way, but that’s not far enough.

You may still get a significant amount of UV exposure even if you’re sitting in a sheltered spot under a tree. UVB rays (considered the most harmful) can reach the skin indirectly by bouncing off UV-reflective surfaces like water, sand, and concrete.

Umbrellas also block fewer UV rays than you might think. In one study that compared the effects of sitting under beach umbrellas versus using sunscreen, 78 percent of those in the shade got a sunburn compared with 25 percent of those who slathered on sunblock.

 Ultimately, shade is better than no shade at all. But to effectively protect yourself from harmful UV rays, you’ll need to take additional steps.

2. Cover Up

Around 10 to 25 percent of melanomas develop on the head or neck.

 Particular trouble spots include the face, lips, and scalp.

 For men, ears are a melanoma danger zone, presumably because their ears are less likely to be covered by long hair.

Melanoma of the head or neck is more likely to be aggressive and spread to other areas than is melanoma on other parts of your body.

Wearing a hat is key for protection. One with a broad rim all around that points downward will block UV rays best. The rim needs to be at least 3 inches wide to shade the nose and cheeks.

Sunglasses are also critical, as UV rays can cause conditions ranging from cataracts to, rarely, ocular (eye) melanoma. Look for styles that cover the eyelids and as much of the surrounding skin as possible and that have a tag confirming the glasses block 100 percent of all UV radiation.

When it comes to clothing, the more covered up you are, the better.

Tightly woven, loose-fitting, and dark or bright fabrics are especially good — red or black clothes are better than pastels or white, because darker colors absorb more UV rays. Synthetic or semisynthetic materials, like polyester and rayon, are better than bleached cotton or crepe.

3. Slather on the Sunscreen — and Reapply

Sunscreen use is an essential part of any sun-protection strategy. It's not sufficient on its own, though. Some UV rays still get through.

Even using a sunscreen with a high SPF (sun protection factor) doesn’t mean you can safely stay outside in the sun longer, use less, or reapply less frequently.

Look for sunscreens with broad spectrum protection, meaning they block both UVA and UVB rays. The SPF number on the bottle indicates the amount of protection against UVB rays — the kind that cause sunburn. An SPF 15 sunscreen filters out 93 percent of UVB rays, while an SPF 30 filters out about 97 percent. The American Cancer Society recommends choosing a sunscreen with an SPF of 30 or above.

An adult needs to use about 1 ounce (oz) of sunscreen — enough to fill a shot glass — to cover the arms, legs, neck, and face. Reapply every two hours or more often if you’ve been swimming or sweating heavily.

Sunscreen should be applied 15 to 30 minutes before UV exposure to allow it to fully bind to the skin.

Sunscreen is considered safe for babies after the age of 6 months. Before then, keep infants out of direct sunlight, covering them with hats and protective clothing.

 If this isn’t available, the American Academy of Dermatology recommends parents apply minimal sunscreen, with preference for those containing titanium dioxide or zinc oxide as they’re less likely to cause irritation on babies’ skin.

4. Don’t Get Burned

In addition to taking steps like seeking shade and applying sunscreen, it’s important to pay attention to the UV index. This is a tool that predicts the intensity of UV rays on a scale of 1 to 11-plus.

If you or your family find yourselves outside without any sun protection on a day with a high UV index (6 to 7 or higher), don’t delay: Hightail it indoors.

While this may seem extreme, blistering sunburns can significantly increase melanoma risk later in life. Researchers have found that even one blistering sunburn as a child or adolescent doubles melanoma risk later in life.

Having five or more blistering sunburns between the ages of 15 and 20 increases melanoma risk by 80 percent.

5. Avoid Tanning Beds and Sun Lamps

While tanning salons promote themselves as a safe way to tan, research soundly disproves this.

Studies have found that even a single indoor tanning session can increase melanoma risk, and that danger increases with each use. The risk also goes up higher the younger you are. Using tanning beds before the age of 35 can heighten the risk of melanoma by nearly 60 percent.

Another study found that tanning bed use at any age from 18 to 70 can increase the risk of melanoma by nearly 300 percent.

If you like the look of a tan, use a safer option like self-tanning moisturizers, wipes, or sprays.

6. Do Regular Skin Self-Exams

An annual skin examination by a doctor and regular skin self-exams can help you stop early-stage melanoma from spreading. Caught early, melanoma is highly curable.

Check yourself thoroughly from head to toe, and underneath your toenails, too. Use a full-length mirror and a small hand mirror to help you see areas like the back of your neck. It’s even better to have a partner help you check hard-to-see areas of your body. Look for any moles or spots that increase in size or thickness or change in color or texture. If you see anything unusual, see your dermatologist right away.

The Takeaway

  • Proper sun protection is vital to reducing the risk of melanoma. So take some steps to help protect yourself: Seek shade, wear protective clothing, and use sunscreen with at least SPF 30 for comprehensive coverage.
  • Avoid using tanning beds and other artificial tanning devices, as they significantly increase the risk of developing melanoma.
  • Be mindful that getting blistering sunburns, especially in childhood and adolescence, can have lasting effects and significantly raise melanoma risk later in life.
  • Doing regular skin self-exams and getting annual checks by a healthcare professional can catch melanoma early, increasing the chances of successful treatment.
EDITORIAL SOURCES
Everyday Health follows strict sourcing guidelines to ensure the accuracy of its content, outlined in our editorial policy. We use only trustworthy sources, including peer-reviewed studies, board-certified medical experts, patients with lived experience, and information from top institutions.
Resources
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Jacquelyn Dosal

Jacquelyn Dosal, MD

Medical Reviewer

Jacquelyn Dosal, MD, is a board-certified dermatologist practicing at The Dermatology House in Park City, Utah. Her areas of expertise include acne, rosacea, integrative treatments of inflammatory skin diseases, as well as laser treatment of the skin and injectables.

Dr. Dosal writes cosmetic questions for the certifying exams for the American Board of Dermatology. She is also the deputy editor for the American Academy of Dermatology's podcast, Dialogues in Dermatology.

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Pamela Kaufman

Author

Pamela Kaufman assigns and edits stories about infectious diseases and general health topics and strategizes on news coverage. She began her journalism career as a junior editor on the health and fitness beat at Vogue, followed by a long stint at Food & Wine, where she rose through the ranks to become executive editor. Kaufman has written for Rutgers University and Fordham Law School and was selected for a 2022 Health Journalism Fellowship from the Association of Health Care Journalists and the Centers for Disease Control and Prevention (CDC).

Kaufman enjoys going on restaurant adventures, reading novels, making soup in her slow cooker, and hanging out with her dog. She lives in New York City with her husband and two kids.