What it is

Zinc oxide is a white mineral powder used on skin for centuries. In sunscreen it sits on the surface and absorbs and scatters both UVB and UVA light, which is why it is called a physical or mineral filter1. In nappy creams it forms a water-repellent layer that protects sore skin from moisture and friction4, 5.

What the evidence says

Evidence: strong. Regulator-approved as a broad-spectrum sunscreen filter and skin protectant, with decades of use and good safety data on intact skin.

The US FDA proposes zinc oxide and titanium dioxide as generally recognised as safe and effective at up to 25%, while asking for more data on most chemical filters2. Dermatologists recommend them for sensitive skin and babies, and advise everyone to use broad-spectrum SPF 30 or higher1. As a skin protectant, zinc oxide at 1 to 25% is an approved over-the-counter ingredient5, and dermatologists advise a thick layer of zinc oxide cream for nappy rash, left in place between changes4.

On nano versus non-nano: a decade of imaging studies in human volunteers found no penetration of zinc oxide nanoparticles beyond the outer dead layer of skin3. The open question is inhaling loose particles, a reason to prefer creams over sprays and powders. The real trade-off is cosmetic: non-nano zinc leaves a heavier white cast.

For brown and Black skin the white cast is the practical barrier. Tinted mineral sunscreens use iron oxides, which also block visible light, a wavelength that deepens dark spots and causes lasting darkening in deeper skin tones1, 6. See our guides to sun protection for every skin tone and melanin-rich skin care.

How people use it

  • Daily sunscreen: broad-spectrum SPF 30 or higher, applied generously 15 minutes before going out and reapplied every two hours or after swimming or sweating1.
  • Tinted or sheer formulas: a tint matching your skin avoids the grey cast on deeper tones; sheer nano formulas are another option.
  • Nappy rash or chafing: a thick layer of zinc oxide cream at each change, removed fully once a day4.

Cautions

  • Apply generously and reapply; a thin layer gives far less than the SPF on the tube.
  • Avoid sprays and loose powders near the face, and keep any sunscreen out of the eyes.
  • Reactions are usually to fragrance or preservatives rather than the zinc; patch test new products.
  • Keep babies under six months in shade and clothing; if impossible, dermatologists prefer a small amount of a mineral product1.
  • Nappy rash with blisters, pus, fever or no improvement after treatment needs a doctor4.

Sources

  1. American Academy of Dermatology - Sunscreen FAQs www.aad.org/public/everyday-care/sun-protection/sunscreen-patients/sunscreen-faqs
  2. US Food and Drug Administration - Questions and answers: FDA's regulatory actions on over-the-counter sunscreen www.fda.gov/drugs/understanding-over-counter-medicines/questions-and-answers-fdas-regulatory-actions-over-counter-sunscreen
  3. Mohammed Y et al. (2020). Noninvasive in vivo human multiphoton microscopy: a key method in proving nanoparticulate zinc oxide sunscreen safety. Journal of Biomedical Optics. pubmed.ncbi.nlm.nih.gov/31939224
  4. American Academy of Dermatology - How to treat diaper rash www.aad.org/public/everyday-care/itchy-skin/rash/treat-diaper-rash
  5. US Code of Federal Regulations, 21 CFR 347.10 - Skin protectant active ingredients (Cornell Legal Information Institute) www.law.cornell.edu/cfr/text/21/347.10
  6. Mahmoud BH et al. (2010). Impact of long-wavelength UVA and visible light on melanocompetent skin. Journal of Investigative Dermatology. pubmed.ncbi.nlm.nih.gov/20410914