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I'm 46 & I've never worn sun cream – my real ‘skin age' left me devastated, I loathe my wrinkles & feel like an idiot

I'm 46 & I've never worn sun cream – my real ‘skin age' left me devastated, I loathe my wrinkles & feel like an idiot

The Irish Sun24-07-2025
MY name is Clare and I've never worn sun cream.
There, I've said it. While it might not sound like a huge confession, as a 46-year-old woman who loathes her lines and wrinkles, I now wonder how many of them are down to my lack of SPF.
10
Clare O'Reilly, aged 46, has never worn sun cream
Credit: Supplied
10
Clare went to dermatologist Dr Toby Nelson to get her face scanned and determine the skin damage she has from not wearing SPF
Credit: Supplied
10
She was shocked to find out her skin age is SEVEN years older than her biological age
Credit: Supplied
From frying myself as a teen in Portugal, to sizzling in Scarborough in the early Nineties, I admired my half-Portuguese skin as it turned a deep shade of olive, and maybe a little red, all without a scrap of UV protection.
But now, finding out my skin age is SEVEN years older than my biological age is pretty devastating.
Dermatologist Dr Toby Nelson, who scanned my face to determine the damage, breaks the
news
gently.
'The Visia skin scanner uses hi-tech cameras and UV light to take a deep look at the surface of your face, revealing hidden sun damage, wrinkles, inflammation and more,' he says.
'It gives you a 'skin age'. If your skin's in great shape, your age could come back younger than your actual age.
'But if you've not taken care of your skin, it might say you're older. In your case, Clare, it's seven years older.'
The UK sun protection market generated more than £300million last year, but I've never bought a sunscreen or lotion for myself.
Growing up in the Eighties, my parents never put any on me either. Now well into my forties, my
The creases around my eyes feel more noticeable than those of friends the same age and I have dark spots on my cheeks.
While the scanner can't determine any skin cancer risk, I'm all too aware that statistics for
I'm a dermatologist - here's the 5 things to do in your 30s to slow ageing
More than 17,500 people are diagnosed with it every year. That's 48 people a day.
Dr Nelson is part of the team at Wood MediSpa in leafy Okehampton, Devon, and while the scan of my skin, which costs £250, takes just seconds, the results will stay with me a lifetime.
I look at Dr Nelson for reassurance and am greeted with a shrug. He says it is utterly unsurprising that my skin age is 53.
'Your skin analysis is consistent with someone who likely didn't use sunscreen regularly throughout childhood and early adulthood,' he explains.
Still reeling
'As you're now in your forties, we're seeing signs of sun damage, specifically sun spots, called solar lentigines, fine lines and some texture changes.
'People who haven't consistently used SPF tend to show signs of sun damage much earlier.'
I smile meekly, wondering just how young my skin would look had I slapped on a bit of SPF over the years, and neglect to mention my occasional use of
tanning
beds.
Given the fact I already feel like an idiot for not using sunscreen, I fear I may be laughed out of the clinic if I admit to grilling myself unsafely under lamps as a teen.
While I'm still reeling from the results, Dr Nelson says it is not too late to reverse at least some of the damage.
'You can definitely stop things getting worse and, to some extent, improve the state of your skin right now,' he says hopefully.
'The most important step is starting sunscreen use, as it allows the skin to repair some existing damage.
'Other products offer marginal improvements. Antioxidants like vitamin C, niacinamide, vitamin B3, and other serums can help, but they don't compare to sunscreen in terms of effectiveness.
'You can also monitor the UV index, which is available on most weather apps.
'People often overlook it in favour of the temperature or sunshine forecast. But if the UV index is three or above, you should wear sunscreen.'
My 14-year-old daughter Annie is a UV-checking addict, so I leave Dr Nelson's clinic — feeling chastened and foolish — with some leaflets about laser treatment, which he says could help smooth my leathery skin.
And yes, I stop and buy a bottle of SPF 50 on the way home.
10
Clare tested the Visia skin scanner which uses hi-tech cameras and UV light to take a deep look at the surface of the face
Credit: Supplied
WHAT CLARE'S TEST RESULTS SHOW
DR NELSON says: 'Clare's skin age is seven years older than her biological age, which is expected, given the fact she has never worn sunscreen.
'Scores below 50 per cent suggest Clare's skin condition is a lot worse than average for her age. Her scan suggests areas for improvement, especially in texture, pores and redness, while UV damage is less concerning.
'That said, it has placed her skin age above her biological age primarily due to the increased brown pigmentation manifesting as solar lentigines [liver spots] and melasma [darkened skin].'
He explains the results, below. . .
SPOTS: 41.53%
10
Clare has darker brown or red spots, including freckles and acne scars
Credit: Supplied
'CLARE has darker brown or red spots, including freckles, acne scars and hyperpigmentation.
"The score reflects how your skin compares to others of the same age and gender. Higher is better.'
WRINKLES: 27.12%
10
She has more visible wrinkles compared to her peers
Credit: Supplied
'I CAN see both fine lines and deeper wrinkles. Her lower percentage indicates that she has more visible wrinkles compared to her peers.'
TEXTURE: 12.47%
10
Clare has irregularities in her skin texture due to sun damage
Credit: Supplied
'YELLOW highlights show uneven texture. Clare's skin isn't particularly smooth and even. Her lower score may indicate more irregularities due to sun damage.'
UV SPOTS: 75.93%
10
Clare has damage under the skin caused by sun exposure
Credit: Supplied
'The damage under the skin caused by sun exposure is not as much as I might expect given Clare's never worn sunscreen. A higher score indicates less UV damage.'
BROWN SPOTS: 24.84 %
10
Clare's pigmentation might be due to aging, sun damage or hormone
Credit: Supplied
'THE pigmentation might be due to aging, sun damage or hormones.
"The yellow dots indicate melanin concentration and her lower score indicates more brown spots.'
RED AREAS: 18.97%
10
Clare has redness, a sign of skin damage
Credit: Supplied
'RED areas show inflammation, sensitivity or acne.
'Clare's lower score means more redness is present, which is a sign of skin damage.'
HOW TO STAY SAFE IN THE SUN
DR NELSON shares his advice on how to protect your skin . . .
RAMP UP THE SPF:
The British Association of Dermatologists generally recommends using SPF 30 or higher, but I advise patients to use SPF 50, as the SPF number is based on lab testing, not real-world conditions.
DON'T BE MEAN:
One common issue is applying too little sunscreen. The recommended amount is about one tablespoon for the face and neck.
Many modern sunscreens come in mists, sprays or roll-ons, which can make it difficult to know if you've used enough.
APPLY REGULARLY:
Regardless of format, sunscreen should be reapplied every two hours and especially after swimming or towelling off, even if the label says 'water resistant'.
LAYER UP:
Protective clothing, wide-brimmed hats and seeking shade, especially during peak sun hours, are all essential. Peaked caps, for instance, do little to protect the central face.
A good rule of thumb: If your face isn't in shadow when you wear your hat and look in the mirror, the hat probably isn't offering much protection.
SLIP, SLAP AND SLOP:
Slip on a shirt, slap on a hat and slop on sunscreen. It's a simple but effective message taught to children in many sun-exposed countries.
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I'm 46 & I've never worn sun cream – my real ‘skin age' left me devastated, I loathe my wrinkles & feel like an idiot
I'm 46 & I've never worn sun cream – my real ‘skin age' left me devastated, I loathe my wrinkles & feel like an idiot

The Irish Sun

time24-07-2025

  • The Irish Sun

I'm 46 & I've never worn sun cream – my real ‘skin age' left me devastated, I loathe my wrinkles & feel like an idiot

MY name is Clare and I've never worn sun cream. There, I've said it. While it might not sound like a huge confession, as a 46-year-old woman who loathes her lines and wrinkles, I now wonder how many of them are down to my lack of SPF. 10 Clare O'Reilly, aged 46, has never worn sun cream Credit: Supplied 10 Clare went to dermatologist Dr Toby Nelson to get her face scanned and determine the skin damage she has from not wearing SPF Credit: Supplied 10 She was shocked to find out her skin age is SEVEN years older than her biological age Credit: Supplied From frying myself as a teen in Portugal, to sizzling in Scarborough in the early Nineties, I admired my half-Portuguese skin as it turned a deep shade of olive, and maybe a little red, all without a scrap of UV protection. But now, finding out my skin age is SEVEN years older than my biological age is pretty devastating. Dermatologist Dr Toby Nelson, who scanned my face to determine the damage, breaks the news gently. 'The Visia skin scanner uses hi-tech cameras and UV light to take a deep look at the surface of your face, revealing hidden sun damage, wrinkles, inflammation and more,' he says. 'It gives you a 'skin age'. If your skin's in great shape, your age could come back younger than your actual age. 'But if you've not taken care of your skin, it might say you're older. In your case, Clare, it's seven years older.' The UK sun protection market generated more than £300million last year, but I've never bought a sunscreen or lotion for myself. Growing up in the Eighties, my parents never put any on me either. Now well into my forties, my The creases around my eyes feel more noticeable than those of friends the same age and I have dark spots on my cheeks. While the scanner can't determine any skin cancer risk, I'm all too aware that statistics for I'm a dermatologist - here's the 5 things to do in your 30s to slow ageing More than 17,500 people are diagnosed with it every year. That's 48 people a day. Dr Nelson is part of the team at Wood MediSpa in leafy Okehampton, Devon, and while the scan of my skin, which costs £250, takes just seconds, the results will stay with me a lifetime. I look at Dr Nelson for reassurance and am greeted with a shrug. He says it is utterly unsurprising that my skin age is 53. 'Your skin analysis is consistent with someone who likely didn't use sunscreen regularly throughout childhood and early adulthood,' he explains. Still reeling 'As you're now in your forties, we're seeing signs of sun damage, specifically sun spots, called solar lentigines, fine lines and some texture changes. 'People who haven't consistently used SPF tend to show signs of sun damage much earlier.' I smile meekly, wondering just how young my skin would look had I slapped on a bit of SPF over the years, and neglect to mention my occasional use of tanning beds. Given the fact I already feel like an idiot for not using sunscreen, I fear I may be laughed out of the clinic if I admit to grilling myself unsafely under lamps as a teen. While I'm still reeling from the results, Dr Nelson says it is not too late to reverse at least some of the damage. 'You can definitely stop things getting worse and, to some extent, improve the state of your skin right now,' he says hopefully. 'The most important step is starting sunscreen use, as it allows the skin to repair some existing damage. 'Other products offer marginal improvements. Antioxidants like vitamin C, niacinamide, vitamin B3, and other serums can help, but they don't compare to sunscreen in terms of effectiveness. 'You can also monitor the UV index, which is available on most weather apps. 'People often overlook it in favour of the temperature or sunshine forecast. But if the UV index is three or above, you should wear sunscreen.' My 14-year-old daughter Annie is a UV-checking addict, so I leave Dr Nelson's clinic — feeling chastened and foolish — with some leaflets about laser treatment, which he says could help smooth my leathery skin. And yes, I stop and buy a bottle of SPF 50 on the way home. 10 Clare tested the Visia skin scanner which uses hi-tech cameras and UV light to take a deep look at the surface of the face Credit: Supplied WHAT CLARE'S TEST RESULTS SHOW DR NELSON says: 'Clare's skin age is seven years older than her biological age, which is expected, given the fact she has never worn sunscreen. 'Scores below 50 per cent suggest Clare's skin condition is a lot worse than average for her age. Her scan suggests areas for improvement, especially in texture, pores and redness, while UV damage is less concerning. 'That said, it has placed her skin age above her biological age primarily due to the increased brown pigmentation manifesting as solar lentigines [liver spots] and melasma [darkened skin].' He explains the results, below. . . SPOTS: 41.53% 10 Clare has darker brown or red spots, including freckles and acne scars Credit: Supplied 'CLARE has darker brown or red spots, including freckles, acne scars and hyperpigmentation. "The score reflects how your skin compares to others of the same age and gender. Higher is better.' WRINKLES: 27.12% 10 She has more visible wrinkles compared to her peers Credit: Supplied 'I CAN see both fine lines and deeper wrinkles. Her lower percentage indicates that she has more visible wrinkles compared to her peers.' TEXTURE: 12.47% 10 Clare has irregularities in her skin texture due to sun damage Credit: Supplied 'YELLOW highlights show uneven texture. Clare's skin isn't particularly smooth and even. Her lower score may indicate more irregularities due to sun damage.' UV SPOTS: 75.93% 10 Clare has damage under the skin caused by sun exposure Credit: Supplied 'The damage under the skin caused by sun exposure is not as much as I might expect given Clare's never worn sunscreen. A higher score indicates less UV damage.' BROWN SPOTS: 24.84 % 10 Clare's pigmentation might be due to aging, sun damage or hormone Credit: Supplied 'THE pigmentation might be due to aging, sun damage or hormones. "The yellow dots indicate melanin concentration and her lower score indicates more brown spots.' RED AREAS: 18.97% 10 Clare has redness, a sign of skin damage Credit: Supplied 'RED areas show inflammation, sensitivity or acne. 'Clare's lower score means more redness is present, which is a sign of skin damage.' HOW TO STAY SAFE IN THE SUN DR NELSON shares his advice on how to protect your skin . . . RAMP UP THE SPF: The British Association of Dermatologists generally recommends using SPF 30 or higher, but I advise patients to use SPF 50, as the SPF number is based on lab testing, not real-world conditions. DON'T BE MEAN: One common issue is applying too little sunscreen. The recommended amount is about one tablespoon for the face and neck. Many modern sunscreens come in mists, sprays or roll-ons, which can make it difficult to know if you've used enough. APPLY REGULARLY: Regardless of format, sunscreen should be reapplied every two hours and especially after swimming or towelling off, even if the label says 'water resistant'. LAYER UP: Protective clothing, wide-brimmed hats and seeking shade, especially during peak sun hours, are all essential. Peaked caps, for instance, do little to protect the central face. A good rule of thumb: If your face isn't in shadow when you wear your hat and look in the mirror, the hat probably isn't offering much protection. SLIP, SLAP AND SLOP: Slip on a shirt, slap on a hat and slop on sunscreen. It's a simple but effective message taught to children in many sun-exposed countries.

Practice must pay €10k to patient removed from medical card list after complaint
Practice must pay €10k to patient removed from medical card list after complaint

Irish Daily Mirror

time17-07-2025

  • Irish Daily Mirror

Practice must pay €10k to patient removed from medical card list after complaint

A Clare-based medical practice has been ordered to pay compensation of €10,000 to a former patient after it removed her from its medical card list after she had lodged a complaint against the clinic with the Workplace Relations Commission. The WRC ruled that the Saffron & Blue Medical Clinic in Clarecastle, Co Clare had breached the Equal Status Act by victimising the patient, Sarah Mangan. The clinic denied it had engaged in victimisation of Ms Mangan when it sent her a letter on February 13, 2023 in which it stated that her needs would be better served by another GP given the breakdown of trust in the doctor/patient relationship. Ms Mangan, who had been a patient of the practice for over 30 years, submitted a complaint against the practice to the WRC in December 2022. However, the WRC also made a separate ruling that the medical practice had not discriminated against her on grounds of disability over her complaints that she had been refused medical services over her inability to wear a face mask due to various medical conditions. Ms Mangan claimed the medical centre failed to provide her with reasonable accommodation considering her disabilities and also that she was harassed on several occasions because she could not wear a face mask due to suffering from anxiety, asthma, dermographism (a skin condition) and autism. The Saffron & Blue Medical Clinic disputed all the complaints and denied that it had discriminated against the patient. It also claimed she had not provided any credible evidence to support her claims that various medical conditions prevented her from wearing a mask and it did not accept she had a valid diagnosis of autism. A solicitor for the clinic had sought at the outset of a three-day hearing before the WRC to have her complaints dismissed on the grounds that they were frivolous and vexatious. Ms Mangan gave evidence of various incidents when she attended the clinic for medical appointments without wearing a face mask. She claimed she was refused permission to wait in an internal waiting area and had to wait in her car, while on other occasions she claimed she was harassed by one of the GPs and a nurse for not wearing a mask. The Workplace Relations Commission and Labour Court offices in Dublin (Image: Philip Fitzpatrick/Collins) She told the WRC that the clinic's practice on mask wearing was not consistent as there were other times when she was seen by a GP when she was not wearing a mask. After being removed from the clinic's medical card panel, Ms Mangan said she was refused as a patient by five other GP practices on the basis they were not accepting medical card holders. She was subsequently assigned a new doctor under the HSE Change of Doctor procedure for medical card holders. Asked about the impact of being removed as a patient, Ms Mangan replied: "It is awful. I don't trust doctors anymore." The clinic's director, Dr Colum Gavin and two other doctors, Marie Quigney and Maeve Cahill, told the WRC hearing that they did not accept that the patient's various health conditions prevented her from wearing a mask. WRC adjudication officer, Moya de Paor, ruled that Ms Mangan had not been refused medical services within the terms of the legislation and did not suffer any discriminatory treatment over the failure to provide reasonable accommodation. However, Ms de Paor said the timeline of events supported the patient's claim that the clinic reacted to her complaint to the WRC by deciding to remove her from its medical card panel. She noted Dr Gavin had claimed that Ms Mangan had been removed from its medical card list because she had lost trust in the practice and not because she had issued legal proceedings against them. However, Ms de Paor remarked: "I do not accept his evidence as convincing or credible." She said there was a direct link between the complaint to the WRC and the decision to remove her as a patient from its medical card panel. Ms de Paor said she appreciated that the doctor/patient relationship was "fraught" during the Covid-19 pandemic and that some of the clinic's staff found it challenging. Nevertheless, she did not consider the manner in which the medical team approached the issue was reasonable as Ms Mangan was given no notification or warning about her removal and was not advised that she remained a patient of the practice until assigned another GP. In setting compensation, Ms de Paor said the breach was at "the more serious end of the scale" given Ms Mangan was a patient of the practice for over 30 years with a complex medical history. She said Ms Mangan was also in a more vulnerable position with less freedom to choose a GP as a medical card holder. Subscribe to our newsletter for the latest news from the Irish Mirror direct to your inbox: Sign up here.

Ireland's ‘unhealthiest region': Limerick and the midwest suffering extreme health inequality
Ireland's ‘unhealthiest region': Limerick and the midwest suffering extreme health inequality

Irish Times

time16-07-2025

  • Irish Times

Ireland's ‘unhealthiest region': Limerick and the midwest suffering extreme health inequality

A child is woken up in the middle of the night by gardaí raiding their house. The child's parents are on the wrong side of the law, battling with addiction, poverty and unemployment. The child goes to school the next morning, exhausted, anxious and stressed. As a result, they're unable to focus on their education, affecting their learning, life path and – most surprisingly – their health. This, according to Dr Anne Dee, consultant in public health medicine, is a situation children in some areas of the midwest region – Limerick , Clare and north Tipperary – experience due to levels of extreme deprivation. But these adverse childhood experiences, she says, are more than just about poverty or crime. Such incidents, she says, are a significant determinant for the health of the people in the area. READ MORE 'Internationally, we know well that people who live in areas of deprivation or who are unemployed, or who have poor levels of education, or poor housing, that they have poorer health,' Dr Dee says. 'People who live with disadvantage are more likely to have chronic disease, which is heart attack, asthma, diabetes, respiratory disease.' According to the 2022 Census, the population in the midwest is more deprived than the national benchmark. We have double standards around what is acceptable and what is not, who we need to consider and who we need to dismiss — Dr Anne Dee In 2022, the most recent year for which figures are available, 24 per cent of the population in Limerick were considered disadvantaged, very disadvantaged or extremely disadvantaged; 21 per cent in Clare; and 23 per cent in north Tipperary. 'Children are more prone to having adverse childhood events if they're living in poverty. If their father or their parents are unemployed. If their communities are unsafe. If we can start changing that, we can create communities and environments that are much more healthy.' In light of this, Dr Dee, the recently-appointed president of the Irish Medical Organisation (IMO), is leading a new project in the midwest that seeks to examine the social determinants of poor health and reduce them. Under the project, which is sponsored by the newly-elected mayor of Limerick John Moran, and Sandra Broderick, regional executive officer in the HSE, the 'big players' in education, employment, the probation service, Tusla, the HSE and other organisations will come together to try to improve the health of the region. 'Data from Scotland would show that about 30 per cent of children who have more than four adverse childhood experiences will go on to potentially succeed in life. Seventy per cent of them will not. They'll either end up dead, incarcerated, addicted or with chronic mental illness,' Dr Dee says. 'It's about looking at our population of children and saying, how can we change the trajectory of their life in terms of outcomes? There are really excellent healthcare initiatives but they're not across the whole population. We need to make sure that where the need is greater, there is extra available.' The midwest consultant analysed a random sample of emergency department attendances at hospital in Limerick, and coded them by deprivation. 'We were able to show if you lived in extreme deprivation or severe deprivation, you were around 2.5 times more likely to use the emergency department than if you lived in an area of affluence,' she says. 'They were also more likely to be hospitalised and more likely to wait to be seen than people from other areas of deprivation.' These people are 'not spurious' users of the health system, she says, adding that often wait until they're at crisis point before seeking help. There is a lack of trust among many of these vulnerable groups, and the project aims to mend that, she adds. Part of the problem, she says, is the prevalence of a culture of blame. 'Instead of judging them for their behaviour or telling them they need to stop smoking, stop drinking, stop eating rashers, we need to start supporting these communities to be able to function much better,' she says. The unemployment rate in Ireland is 4 per cent, according to the CSO, but in parts of Limerick city it's up about 70 per cent. 'It's not just that people are lazy. It a very, very complex mix of poor educational attainment, intergenerational problems like addiction, no history of employment in living memory, a fear of authority or mistrust,' she says. But how has this situation occurred? Dr Dee says Limerick in the 1800s and 1900s had 'a lot of poverty'. 'I just feel, and I think quite a number of people would agree with me on this, that it hasn't always been the priority when it comes to government funding,' she says. Adding to this, future planning in health and other sectors such as housing is often based on population, Dr Dee says, though she admits work is ongoing in this area. She believes, instead, health planning must be based on need. 'They [policymakers] haven't traditionally taken a lot of heed of the deprivation level within that population. So everybody gets the same. So you'll hear some areas consistently crying out, saying 'we haven't enough' and that's because their need is greater,' she says. There are specific cohorts of people who are particularly deprived, she says, including those with disabilities, or members of the Roma or Travelling communities. The Census 2022 estimated the White Irish Traveller population as 0.6 per cent of the total population in Ireland. In the midwest, this is 0.9 per cent, and in the west Limerick community health network, the proportion is four times the national average. The life expectancy of members of the Travelling community is 10 to 15 years less than those in the settled population. Having worked in a leprosy hospital in Nepal 30 years ago, Dr Dee sees parallels in terms of the stigma directed towards Travellers and those with infectious diseases, and the impact that has on these people in relation to interacting with various systems in society. 'If you suffer from leprosy in most communities where people get leprosy, you will be stigmatised for having leprosy. And we look at that in the West and we say 'oh, that's really bad that people would be stigmatised for just having a bacterial infection',' she says. 'But at the same time, with the same breath, we talk about Travellers in a way that is very stigmatising. We have double standards around what is acceptable and what is not, who we need to consider and who we need to dismiss.' Though her pilot project is focused on the midwest due to its deprivation profile, Dr Dee believes healthcare should be provided in this way across the country – particularly in light of the spiralling homeless crisis . The most recent figures from the Department of Housing, from May, showed there were a record 15,580 homeless people, of which 4,775 are children. Dr Dee says the country has yet to see the true health crisis that will arise from this. 'The life expectancy of somebody living in homelessness is around 40. That would be street homeless; I don't think we've measured the kind of new homelessness,' she says. 'I can assure you all of these children growing up in homelessness are gathering up such enormous levels of adverse childhood experiences. The effects of poverty on children are long-term. The effect of adverse childhood events on children are long-term. The effects of both are additive.' Are we not setting these children, and other vulnerable groups, up for failure? 'We absolutely are. Absolutely. It really, really behoves us to do some serious prevention in the area of social determinants of health.'

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