Skin

How to treat sunburn

Enjoying a beautiful, sunny day is one of life’s pleasures, but as ​​Australia has some of the highest UV levels in the world, it’s important to protect ourselves from sunburn - and understand how to care for it.

Written by Lucy E. Cousins

​​​Sunburn is your skin’s reaction to too much of the sun’s UV radiation. It’s essentially your poor skin showing clear signs of damage by turning pink or red, feeling warm, painful, swollen, itchy or blistered. The good news is there are simple things you can do to help soothe that sunburn and support healing. Cooling the skin, staying well hydrated and protecting the area from any further sun exposure can all help ease discomfort and give your skin a chance to recover.

“If it's a mild burn and you don't feel it too much, your body will just feel hot and apart from running it under cold water, you don't need to do too much about it,” says ​​Dr Dharrini Balachandran, an Accredited Skin Cancer Doctor with the Skin Cancer College Australasia. “​​But if blisters form, you have to look after them like a wound.”

​​​Repeated sunburn can have a lasting effect on your skin, including early ageing, wrinkles and a higher risk of skin cancer, including melanoma.

This guide is your go-to for understanding how to treat sunburn at every stage, how long it usually lasts, and crucially, when it might be time to seek medical attention.

What is the best treatment for sunburn?

Act immediately

​​​If you’re feeling the effects of sunburn, or you're concerned about getting burnt, the most important first step is to get out of that sun.

Sunburn doesn’t always appear on the skin immediately, it can take a few hours, but it will usually reach its red peak between 12 and 24 hours later.

Cool the skin

​​​​​Place a cold, damp towel on your skin as this will help take some heat out of the skin or have a cool shower or bath. “Run the area that's been burned under cool water for at least 20 minutes,” says Dr Balachandran. "And then keep the area dry and clean.”

Blistered skin

​​​If there are only smaller blisters, then Dr Balachandran says you should treat them. “If the skin forms a blister, then look after it like a wound,” she adds. “So actually put a dressing on.”

​​​If a large area of the skin starts to blister, then it’s time to see your GP.

Moisturise

​​​​​Moisturiser will help soothe the skin and while it won’t prevent peeling, it can improve the moisture content of the skin underneath.

Use a light moisturiser or aloe vera cream on the burn. “Don't put Vaseline (petroleum jelly) or Sorbolene onto the area,” says Dr Balachandran as these creams can trap the ​​heat. ​Spray-on solutions can be a good idea so you don’t have to rub in creams and irritate sore skin.

Pain relief

​​​Over-the-counter pain relief can be used to help reduce pain and swelling caused by sunburn. Always follow the dosage instructions on the packet.

Hydrate

​​​For the next few days, drink extra water to stay hydrated and ​​watch for signs of dehydration: dry mouth, thirst, headache, reduced and darker urination and dizziness. ​​Children are especially vulnerable, so seek medical advice if they appear unwell.

Let your skin repair itself

As tempting as it can be, avoid picking or peeling away your skin or lips or popping any blisters. The roof or skin of the blisters is protecting the underlying damaged skin, says Dr Balachandran.

“When you break the skin, there's a risk of infection,” she says, but it can also be harmful to expose the layer underneath.

“When you burn the skin, it's like if you touch a hot fire,” she says. “Your skin forms a blister as the layer of skin is inflamed, so it peels off that layer.”

​​​“But as you peel off that layer, the second layer which is the dermis is affected and it has blood vessels, sweat glands, hair follicles and nerve endings which are responsible for temperature regulation or thermal regulation. Patients with severe burns can lose their hydration in the body.”

What not to apply

Avoid ​​petroleum jelly, oil-based ointments or ​​butter as these trap heat in the skin.

READ MORE: Spot the difference: Moles or melanomas?

When to seek medical advice

​​​You should ​see your GP if your sunburn is severe or you are otherwise concerned. This may include:

  • large areas of blistering
  • signs of infection, like a fever
  • severe pain
  • signs of dehydration like dizziness or tiredness.

If you’ve had severe sunburn in the past, visit your GP if you notice any changes to your skin like new moles or freckles, dark spots, any unusual growths on your skin and scaly patches.

Call triple zero (000) and ask for an ambulance if you or your child show signs of heatstroke, such as:

  • confusion
  • seizures
  • coma.

How long does sunburn last?

​​​How long your sunburn lasts depends on your skin type and how severe your sunburn is.

How quickly you get sunburnt depends on your skin type, the time of day and year, and your surroundings, with fair skin burning faster and reflective surfaces such as cement, sand, water and snow increasing UV exposure.

Mild sunburn will usually settle over a few days, while more severe sunburn can cause pain, swelling and blistering and may take around seven to 10 days.

Why does skin peel after sunburn?

​​​The skin cells in your top layer of skin, the epidermis, are burned and that heat damage causes the cells to die. That cell death means the outer layer of the skin starts to peel, and while a new epidermal layer forms underneath, there can still be DNA damage from the UV exposure.

Does sunburn increase your risk of skin cancer?

​​​Repeated sunburn can cause lasting damage to your skin, including aging and a higher risk of skin cancer, including melanoma.

​​​UV exposure can damage the DNA cells and if they are not repaired, abnormal cells may develop.

READ MORE: How often should you get your skin checked for cancer?

How to avoid getting sunburned 

Check the UV Index every day from trusted Australian sites like the SunSmart app and protect yourself from the sun.

“I tell patients to​​ check the UV index before going out in the sun,” says Dr Balachandran. “If the UV index is more than two or ​​three, you should wear sunscreen. In Australia, especially in summer, you need a minimum of SPF30 but SPF50 is best.”

You can also follow the Cancer Council’s guide to staying sun safe.
 

  • ​​​Slip – Slip on clothing that covers your arms, shoulders and legs.
  • Slop – Slop on broad-spectrum SPF50 sunscreen to create a barrier between your skin and UV.
  • Slap – Slap on a broad-brimmed hat to protect your face, ears and neck from UV exposure.
  • Seek – Seek shade from the sun where possible
  • Slide – Slide on sunglasses that can reduce UV exposure to your eyes.

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Frequently asked questions

Can you stay in the sun longer with a high SPF sunscreen?

​​​No, a high SPF sunscreen is designed to reduce your exposure to UV radiation and not to increase your time in the sun. A sunscreen’s SPF rating shows the level of protection it provides against that UV radiation. It’s based on the ratio between the UV dose a person would receive without sunscreen and the dose received with sunscreen applied carefully under test conditions.

Reapply sunscreen every two hours and always reapply after swimming or water sports. Sunscreen can rub off, wash off, be lost through perspiration, and is sometimes not applied evenly in the first place.

How do you get rid of sunburn quickly?

​​​Unfortunately, there’s no cure for the symptoms of sunburn but treatment can help you manage the symptoms while your body heals over time.

These include staying hydrated, having a cool shower or applying a cool compress to the area, moisturising the area gently and taking an over-the-counter pain medication if necessary. If you have a large blistering area it’s best to seek medical advice immediately.

Can a ‘healthy’ suntan protect you from sunburn?

​​​A suntan is a sign your skin is trying to protect itself from UV radiation from the sun. Skin darkens as a protective response to UV exposure because the rays are damaging living skin cells, so if your skin tans it means it is damaged, and not healthy. Some people think a tan helps protect their skin from UV damage and sunburn, but this isn’t correct, and a tan cannot protect your DNA from UV damage in the future.

Do you need sunscreen if your make-up or skincare creams have an SPF included?

​​No, cosmetics and make-up with an SPF usually isn’t enough on its own. It’s best to apply sunscreen underneath your makeup as cosmetic products do not always undergo the same testing as sunscreens in Australia. If you’re spending a long time outdoors, it’s best to use a separate sunscreen and to reapply it every two hours.

Can you get sunburnt in the shade?

​​​Yes, you can as it's the UV radiation that burns your skin and not the sunlight. We can’t see or feel the UV and while a shaded area will help to block some of UV radiation, it can still bounce and reach your skin. That’s why it’s recommended to wear lightweight clothing to cover your skin, wear a hat and sunglasses, sit in the shade and use a high SPF-sunscreen if you are outside.

Our expert: Dr Dharrini Balachandran

Dr Dharrini Balachandran graduated from the University of Adelaide in 2013 and obtained her Fellowship from the Royal College of General Practitioners in 2019. Dharrini trained and worked in Port Macquarie and Kempsey as a rural GP and Skin Cancer doctor for 4 years before moving to Sydney. Dharrini enjoys all aspects of General Practice but has a keen interest in Skin Cancer Medicine, Paediatrics, Women’s Health and Medical Education. Dharrini is an Accredited Skin Cancer Doctor with the Skin Cancer College Australasia.
 

Written by Lucy E. Cousins

Lucy E Cousins is a senior health writer and editor with more than 20 years’ experience creating expert-led, evidence-based content. She is the founder of Remedy Content and a former Wellness Editor of Marie Claire and Digital Content Director of T Australia: The New York Times Style Magazine. Lucy has written for leading publications and brands including Body+Soul, Better Homes and Gardens, The Australian and news.com.au. She has also created evidence-based running content for the TCS Sydney Marathon for the past four years. She has edited six national magazines, including Women’s Fitness and Women’s Health.

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