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Practical Recommendations for Indians on Sunscreen Use-A Modified Delphi Consensus by Indian Sunscreen Forum
Malavika Kohli1, C R Srinivas2,3, Abir Saraswat4
1Breach Candy Hospital, and Jaslok Hospital, Mumbai, Maharashtra, India.
Journal of Cosmetic Dermatology
|September 16, 2025
Summary
Indian dermatologists developed practical sunscreen recommendations to address diverse patient needs and challenges in photoprotection. These guidelines aim to improve sunscreen selection and adherence for better skin health outcomes.
Area of Science:
- Dermatology
- Photoprotection
- Public Health
Background:
- Ultraviolet (UV) radiation causes photoaging, pigmentary issues, and skin cancer.
- Indian clinicians face challenges selecting sunscreens due to diverse skin types, conditions, climates, and preferences.
- Balancing sunscreen efficacy, cosmetic appeal, cost, and patient adherence is a practical dilemma.
Purpose of the Study:
- To create consensus-based, practical recommendations for sunscreen selection and use in Indian dermatology.
- To address gaps in clinical guidance and specific challenges in the Indian context.
- To improve photoprotection strategies and patient outcomes.
Main Methods:
- A panel of 14 Indian dermatologists (Indian Sunscreen Forum) was convened.
- A modified Delphi technique involving in-person and virtual discussions was used.
- Literature review, clinical practice analysis, and patient factors were considered.
Main Results:
- Consensus reached on preferred sunscreen types (physical, chemical, hybrid), application methods, and frequency.
- Specific recommendations were developed for conditions like melasma, photodermatoses, acne, and post-procedure care.
- Considerations for special populations (children, pregnant women, sensitive skin) and safety concerns (absorption, environmental impact) were addressed.
Conclusions:
- The consensus statement offers evidence-informed, context-specific guidance for Indian clinicians.
- It aims to simplify sunscreen recommendations and enhance patient compliance.
- The guidance supports dermatologic and public health priorities for photoprotection in India.
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