Page 45 - VI DERM BOOK COM (002)_FINAL
P. 45

ANATOMICAL & PHYSIOLOGICAL
                                                                                                        differences









             Our skin contains the same structure regardless of
             location with the key functions of protecting our bodies
             from external factors, regulating our body temperature,
             and providing sensory information. Initially, we must first
             determine the type of skin we will be treating on the body.
             Two types of skin structure exist on the human body: thick
             skin and thin skin. Anatomic differences exist in these two
             types of skin and are delineated in the graphic below. Most
             body peeling will be done on thin skin except for the feet
             and heels, which fall into the thick skin category.



             From epidermal thickness to overall healing time,
             understanding the anatomical differences will aid in
             providing safe and effective body peels for patients.




                   FEATURE                          THIN SKIN                        THICK SKIN


                   1. Distribution                  All parts of the body except     Palms, palmar surface of digits,
                                                    palms, palmar digits, soles      soles

                   2. Epidermal thickness           0.10-0.15 mm                     0.6-4.5 mm


                   3. Epidermal strata              Lack stratum lucidum, thinner s.   Thick s. lucidum, spinosum,
                                                    spinosum and s. corneum          corneum

                   4. Epidermal ridges              Lacking due to poorly developed   Present due to well-developed or
                                                    or fewer dermal papillae         numerous dermal papillae

                   5. Hair follicles                Present                          Absent

                   6. Sebaceous glands              Present                          Absent

                   7. Sudoriferous gland            Fewer                            More numerous

                   8. Sensory receptors             Sparser                          Denser


















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