Wrinkles should merely indicate where smiles have been.

Mark Twain

Our skin uncovered

Skin has pigmentation, provided by melanocytes, which absorbs some of the potentially dangerous radiation in sunlight. It also contains DNA repair enzymes which reverse UV damage, and people who lack the genes for these enzymes suffer high rates of skin cancer. One form predominantly produced by UV light, malignant melanoma, is particularly invasive, causing it to spread quickly, and can often be deadly. Human skin pigmentation varies among populations in a striking manner. This has sometimes led to the classification of people on the basis of skin color. See the article on human skin color.

Mammalian skin often contains hairs, which in sufficient density is called fur. The hair mainly serves to augment the insulation the skin provides, but can also serve as a secondary sexual characteristic or as camouflage. On some animals the skin is very hard and thick, and can be processed to create leather. Reptiles and fish have hard protective scales on their skin for protection, and birds have hard feathers, all made of tough β-keratins. Amphibian skin is not a strong barrier to passage of chemicals. A frog sitting in an anesthetic solution will quickly go to sleep.

The skin is often known as "the largest organ in the human body". This applies to exterior surface, as it covers the body, appearing to have the largest surface area of all the organs. Moreover, it applies to weight, as it weighs more than any single internal organ, accounting for about 15 percent of body weight. For the average adult human, the skin has a surface area of between 1.5-2.0 square metres, most of it is between 2-3 mm thick. The average square inch of skin holds 650 sweat glands, 20 blood vessels, 1000 melanocytes, and more than a thousand nerve endings.

Skin is composed of the epidermis and the dermis. Below these layers lies the hypodermis(subcutaneous adipose layer), which is not usually classified as a layer of skin.

The outermost epidermis is consists of stratified squamous epithelium with an underlying basement membrane. It contains no blood vessels, and is nourished by diffusion from the dermis. The main type of cells which make up the epidermis are keratinocytes, with melanocytes and Langerhans cells also present. The epidermis can be further subdivided into the following strata (beginning with the outermost layer): corneum, lucidum, granulosum, spinosum, basale. Cells are formed through mitosis at the innermost layers. They move up the strata changing shape and composition as they differentiate, inducing expression of new types of keratin genes. They eventually reach the corneum and become sloughed off (desquamation). This process is called keratinization and takes place within about 30 days. This layer of skin is responsible for keeping water in the body and keeping other harmful chemicals and pathogens out.

Skin can be dividided into thick and thin types. Thick skin is present on the soles of the feet and the palms of the hands. It has a larger stratum corneum with a higher keratin content. Thick skin does not grow hair; its purpose is to help grip. Thin skin is present on the bulk of the body and has a smaller stratum corneum and fewer papillae ridges. It has hair and is softer and more elastic. The characteristics of the skin, including sensory nerve density and the type of hair, vary with location on the body.

The skin must be regularly cleaned. Unless enough care is taken it will become cracked or inflamed. Unclean skin favors the development of pathogenic organisms.

The skin supports its own ecosystems of microorganisms, including yeasts and bacteria, which cannot be removed by any amount of cleaning. In general these organisms keep one another in check and are part of a healthy skin. When the balance is disturbed, e.g., by antibiotics which kill bacteria, there may be an overgrowth and infection by yeasts. The skin is continuous with the inner epithelial lining of the body at the orifices, each of which supports its own complement of flora.

The essentials of skin care

Your skin is your armor, your shield from the elements. Yet when was the last time you really thought about what you need to do to take care of it? Throughout your life, genetic and environmental factors will cause a lot of wear and tear to your skin. But you are never too young or too old to start taking care of your skin.

A skin care routine does not have to be elaborate in order to be effective. But you should develop some kind of skin care routine based on your skin type, daily activities, and nutritional needs so that you can be sure you are taking the very best care of your skin. Following a daily skin care regime will also allow you to more closely evaluate your skin for abnormalities.

Wash your skin thoroughly on a daily basis to remove the dirt, debris, pollutants, and perspiration that accumulates on a daily basis. If you have dry or sensitive skin, use only warm water to wash your skin and use a mild natural cleanser every few days. If you have normal or oily skin, be sure to wash with a gentle cleanser on a daily basis. Be sure to brush your teeth before washing your face, as toothpaste residue can irritate sensitive facial skin.

Use a natural sunscreen when possible, regardless of whether or not you plan on spending much time in the sun. The sun's rays are very damaging and if you get in the habit of applying sunscreen everyday, you will never be left without protection. The suns most beneficial rays occur at sunrise and sunset.

Apart from the services offered at skin clinics, many creams, gels and ointments that claim to treat acne, diminish sun or age spots and enhance skin elasticity are widely available in the market. There are scrubs, cleansers, masks, over-the-counter skin medicine and skin peel formulations, all offered at various price ranges. Most can be bought at department stores or drugstores, but the fact is that very few of these so- called miracle products actually work.

Why is it that practically everyone in the middle class to the upper levels of demographics in any country are worried about getting wrinkles? Maybe it is the fear of getting old or looking old, or the wanting to look socially acceptable, or just plain vanity. We all have our own reasons. But whatever it is, everyone is united in wanting to solve this age old problem. However, in the first place, do we even have any idea about what actually causes these dreaded wrinkles? It's highly probable that we don't. The most important factor in finding a solution to any problem is finding out the root cause of it.

As we age, our body undergoes various changes, and so does our skin. In our skin, we have tissues known as collagen and elastin. These tissues are mainly responsible for making our skin firm and stretchable. As we grow older, the amount of collagen and elastin in our skin naturally diminishes. As a result, our skin becomes less elastic and weaker, thus creating "wrinkles".

One less painful procedure is the particle skin resurfacing procedure. The process is removes the outer layer of skin in a highly controlled manner. Because of its preciseness, it is practically painless. By repeating this procedure a number of times, the younger skin moves to the surface, thus promoting visible changes in the skin's texture, color and appearance. The benefits of this skin resurfacing procedure are that it causes very little pain or discomfort, no recuperative period is needed, there is minimal risk, it can be used for all skin types, and no anesthesia is required.

The important thing to remember when seeking out treatment for your wrinkles is to know first how your body can possibly react to the treatment. Get in touch with a skin doctor for things that you are not sure of, but are contemplating on trying out.

While it is true that physical beauty is just skin deep, it is still no reason why people, particularly women, should disregard basic skin care. Since the skin is our outermost layer, it is exposed to the harsh elements of the environment. And because it is not uncommon for people to base judgments from our cover, with the face being the first thing they look at, it is only proper that we go to great lengths to keep our skin looking clean and fresh.

There are a lot of skin care products in the market today. Unlike before when a normal bar of soap was used for skin cleansing, cosmetic companies are now producing a wide variety of skin care treatments that can address various skin concerns. However, there are cases when treatments need to be more aggressive, especially for those who have aging or blemished skin. Most, if not all, of the over-the-counter products are topical in nature, meaning it only affects the epidermis or the outer layer of the skin. Aging or blemished skin needs to be treated down to the root of the problem to see definite changes.

Definitions and terms

Acne

• An inflammatory disease of the sebaceous glands and hair follicles of the skin that is marked by the eruption of pimples or pustules, especially on the face.

Bacteria

• Microscopic unicellular prokaryotic organisms characterized by the lack of a membrane-bound nucleus and membrane-bound organelles.

Dermis

• The sensitive connective tissue layer of the skin located below the epidermis, containing nerve endings, sweat and sebaceous glands, and blood and lymph vessels.

Epidermis

• The outer, protective, nonvascular layer of the skin of vertebrates, covering the dermis.

Hypodermis

• A subcutaneous layer of loose connective tissue containing a varying number of fat cells.

Pimples

• A small swelling of the skin, usually caused by acne; a papule or pustule.

Ultraviolet radiation

• Invisible electromagnetic radiation between visible violet light and X rays.

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