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us when it's UV 10 Dermatologist Stitch Incoming !! STOP CHECKING THE UV INDEX I've had a whole run of young patients since coming to clinic are tracking the UV index but they're wearing sunscreen, burned but they're getting a tan when they're outside to understand that a tan is the skin's way of saying "HELP! To protect me because I'm under UV radiation!" Here are reasons why you shouldn't sit out and tan! These are reasons you should wear sunscreen and not try to tan when the UV index is over five. No. 1 Solar lentigines. These are not just genetics, they are acquired from sun exposure over time. And I've seen for very young females who are actually doing indoor tanning, they make very dark freckles. We call them ink spot lentigines. This is how the face. Some of these are macular seborrheic keratoses that are genetics based, but a lot of these are from the sun as well. Here you can see unilateral dermatoheliosis. Dermatohheliosis: wrinkling, uneven skin tone, loss of elasticity tends to age and show photo aging much quicker than the other side because UVA does penetrate the window glass. You'll see this on the back of the neck. This is Cutis Rhomboidalis Nuchae. See these polygonal rhomboid shapes on the back of the neck. Another thing that my patients, males and females cannot stand would be solar purpura or actinic purpura or the other term, which is quite offensive, "senile purpura." You can see this on the arms and legs. And this is all manifestations of long term chronic sun exposure areas where you get leathery skin. You're destroying your collagen, your elastic fibers and you have very poor skin integrity. Wear sunscreen. Peace.