Self-Tanners and Psoriasis: What You Need to Know

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Psoriasis is a chronic skin condition causing rapid skin cell buildup, resulting in scaly patches. Many people with psoriasis seek ways to even out skin tone, especially during warmer months. Self-tanners and spray tans offer a temporary solution, creating a tanned appearance without the risks of UV exposure. But are these options safe for those managing psoriasis? Here’s a breakdown of the facts.

How Self-Tanning Works

Self-tanners, available as lotions, creams, foams, or drops, interact with skin proteins to darken the surface. The active ingredient, dihydroxyacetone (DHA), is FDA-approved and creates a temporary tan that fades in days. Unlike UV tanning, self-tanners don’t penetrate deeply into the skin. According to dermatologists, this makes them a safer alternative, as long as they don’t contain harmful additives.

However, self-tanners do not provide sun protection. Using sunscreen with an SPF of 30 or higher remains crucial when outdoors.

Spray Tans: A Similar Approach

Spray tans also use DHA, applied directly to the skin through aerosol sprays. The darkening effect develops over 2 to 4 hours, lasting up to 10 days. Like self-tanners, spray tans don’t offer UV protection and require separate sunscreen use. The FDA cautions against inhaling or ingesting spray tan products, emphasizing the need for proper safety measures in commercial tanning booths.

Psoriasis and Sunless Tanning: Is it Safe?

Dermatologists confirm that self-tanners and spray tans are generally safe for people with psoriasis. They offer a way to achieve a tanned look without increasing skin cancer risk. However, avoid applying these products to open or inflamed skin, as they won’t adhere well to dry, patchy areas.

The uneven texture of psoriasis plaques makes even application difficult, and the color will fade faster due to the accelerated skin turnover rate in psoriasis-affected areas.

Potential Risks and How to Avoid Them

While self-tanners don’t trigger psoriasis flares, improper application can worsen symptoms. Applying products to cracked or open skin can exacerbate inflammation. Exfoliating affected areas aggressively may also induce flares through the Koebner phenomenon, where skin trauma triggers psoriasis outbreaks.

To minimize risks:

  • Control Psoriasis First: Effective management with prescribed medications is essential before using sunless tanners.
  • Choose Gentle Formulations: Opt for fragrance-free, alcohol-free products without exfoliating acids or harsh chemicals.
  • Patch Test: Apply a small amount to test for irritation before full-body use.
  • Moisturize Strategically: Prep the skin with a warm bath and follow up with immediate moisturizing to aid product absorption.

The Bottom Line

Self-tanners and spray tans can be used safely by people with psoriasis when applied correctly. They provide a cosmetic solution without UV exposure, but uneven results and faster fading on plaques are common. Prioritizing skin health, using gentle formulations, and avoiding application to damaged skin are key to minimizing risks.