The Anatomy of Skin

Posted in   Skin Anatomy   on  June 18, 2014 by  Robert Zieber, MD0




skin anatomy


The skin is the largest organ of the human body, 16.1 – 21.5 sq ft. or 1.5 – 2.0 sq. meters for the average adult, or approximately 16% of total body weight.  It is not an inert covering however, it has several functions.  The skin protects, senses (heat, cold, vibration, touch, pressure and injury), regulates heat loss and retention; stores fat in the hypodermis, regulates vitamin D synthesis; and communicates nonverbally and aesthetically.


In order to provide this wide variety of functions the skin is composed of several layers.  The epidermis or outer most layer is composed of five different layers itself.  The epidermis also contains the melanocytes which produce melanin.  Melanin is a normal and protective skin component which can accumulate abnormally, as in age spots, melasma or just uneven pigmentation.  These abnormalities can be managed with pharmaceutical-grade topical creams and light based therapies.  Just under the epidermis is the dermis.


The dermis not only contains the blood vessels, nerves and the bases of sweat glands and hair follicles but also holds the collagen and elastin matrix.  This matrix, which provides the structure and support for the overlying epidermis, becomes less organized and thinner as we age leading to wrinkling and sagging.  The matrix can be coaxed to reinvigorate itself using a variety of collagen induction therapies like microneedling.


Finally, the subcutaneous layer, or hypodermis, sits below the skin and contains up to 50% of the body fat.  This layer also contains its own connective tissues which anchor the skin to underlying bones and muscles.  These connective tissues are responsible for the dimpling known as cellulite.  The appearance of cellulite can be improved with body contouring and circumferential reduction using radio frequency devices like the Venus Freeze.



About the Author

Dr. Zieber attended Georgetown University Medical School graduating in 1994. He is board certified in Family Medicine and has been practicing aesthetic medicine since 2013.
He has had training and certification in injecting Botox and dermal fillers, like Juvéderm and Belotero, as well as non-invasive body sculpting with Venus Freeze, laser hair and spider vein removal with the GentleMax Pro laser, acne treatments with LightWave's Elite LED system and rosacea using microneedling.

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