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Everyday SunSun Protection

The motorbike arm

twenty minutes at a time.

Every other article on this site assumes you are going to the beach. Most of them are wrong about you. The sun that actually ages Thai skin is the sun you meet on the way to work — twenty minutes at a time, five days a week, for twenty years, without once thinking of it as sun exposure at all.

One photograph makes the whole argument

In 2012 the New England Journal of Medicine published a clinical image of a 69-year-old man who had driven a delivery truck for 28 years. The left side of his face — the window side — was thickened, deeply furrowed and pitted. The right side looked like an ordinary man of 69. Same face, same genes, same 69 years. The only variable was which cheek faced the glass.

The doctors named the mechanism in one sentence: UVA passes through window glass. He was never sunbathing. He was working, with his arm on the door and the window down or up, and the bill arrived three decades later.

The dose you never counted

Do the arithmetic on your own commute. Twenty minutes there, twenty minutes back, is forty minutes of direct midday-ish sun. Five days a week is a little over three hours. Across a year, allowing for rain and holidays, that is comfortably more than a hundred hours on the same patches of skin — forearms, the backs of the hands, the back of the neck, the face.

A week at the beach, going hard, might be thirty. The commute is several times the beach holiday, every year, and unlike the holiday nobody prepares for it. There is no bag, no bottle, no ritual. That is the whole problem in one line: the exposure that does the most damage is the one that never feels like exposure.

28 yrsDriving on one side of a windscreen, in the NEJM case — and the damage only showed on that side
100+ hrsA 20-minute each-way commute, five days a week, across one year
UVAPasses through window glass. UVB largely does not — which is why riders get more than drivers

Where it lands on you, specifically

Commuter damage is lopsided and predictable, and once you know the pattern you will start seeing it on other people at traffic lights.

  • The forearms, from the elbow down — held out in front of you, palms down, facing the sky for the whole ride.
  • The backs of the hands. Thin skin, no hair to speak of, and permanently presented to the sun at the exact angle that collects the most. This is where age shows first and where people notice it last.
  • The back of the neck, under the helmet line and above the collar. A strip nobody can see on themselves.
  • One side of the face more than the other. Thailand drives on the left, so in a car the driver sits on the right and it is the right cheek that takes the window. On a bike it is more even, but the side facing the outside lane still wins.
  • The tops of the feet, if you ride in sandals. Which, being honest about how this country actually gets to work, you do.

What to do, ranked by how little effort it takes

The good news is that this is the easiest sun problem to solve, because the exposure is short, scheduled and repeated. You are not fighting a whole day on a boat. You are fighting forty minutes you already know about.

  1. Cover the forearms. A light long sleeve, or the arm sleeves every motorbike-taxi rider in this city already wears, protects completely, needs no reapplying, and costs less than a bottle. There is a reason the people who ride for a living all wear them — it is not a fashion.
  2. Put SPF on the back of your hands. Thirty seconds, once, before you leave. If you do exactly one thing from this list, do this one, because nothing else is going to cover them.
  3. Keep SPF 15 or 35 where you actually are — desk, bag, bike. The bottle at home protects nobody. A generously applied SPF 15 that you use beats an SPF 50 sitting in a drawer.
  4. Do not skip the overcast days. Thin and broken cloud lets a large share of UV through, and the cooler air removes the sensation that normally warns you. The UV index, not the thermometer.
  5. Mind the neck. A collar up, a light scarf, or SPF along that strip under the helmet line.
  6. Sunglasses that actually filter UV. The skin around the eyes is the thinnest on your face and the first to crease, and dark lenses that do not filter are worse than none — they open your pupils and let more in.

The honest limit of this article

We are not going to pretend a daily routine is easy to start. The reason commuter sun goes unprotected is not ignorance — it is that nobody wants to add a step to a morning that is already late. So pick the smallest version: the hands, before the keys. Thirty seconds. Everything else on the list is a bonus you can add when the first one has become automatic.

Sources

  1. Gordon JRS, Brieva JC (2012), Unilateral Dermatoheliosis, N Engl J Med 366(16):e25 — The New England Journal of Medicine
  2. Radiation: The ultraviolet (UV) index — World Health Organization
  3. Sun protection: shade, clothing and sunscreen — American Academy of Dermatology
  4. UV Index Scale — U.S. Environmental Protection Agency