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Milady’s Standard Cosmetology HISTOLOGY OF THE SKIN 17 Copyright © 2004 by Delmar Learning, a division of Thomson Learning,Inc. ANATOMY OF THE SKIN Dermatology—deals with the study of skin and its nature, structure, functions, diseases, and treatment Dermatologist—a physician engaged in dermatology Esthetician—a specialist in the cleansing, preservation of health, and beautification of the skin and body 17 HISTOLOGY OF THE SKIN The skin is the largest and one of the most important organs of the body. Healthy skin is slightly moist. is soft and flexible. has smooth and finegrained texture. possesses slightly acid reaction. Appendages of the skin: Hair Nails Sweat and oil glands 17 HISTOLOGY OF THE SKIN Epidermis Outermost layer, commonly called cuticle or scarf skin thinnest layer of skin; forms protective covering; contains no blood vessels Dermis Inner layer of skin, called derma, corium, or true skin; about 25 times thicker than the epidermis and is highly sensitive Figure 17-1 17 EPIDERMIS Stratum corneum—horny outer layer. Its scale-like cells are constantly shed and replaced. Cells contain protein keratin and combine with thin covering of oil to make the skin almost waterproof. Stratum lucidum—clear, transparent layer consisting of small cells through which light can pass. 17 EPIDERMIS Stratum granulosum—granular layer in which cells look like granules. Cells are almost dead and are pushed to the skin’s surface to replace those that are shed from the stratum corneum. Stratum germinativum—formerly known as stratum mucosum; deepest layer, responsible for growth of the epidermis; contains pigment called melanin, also found in hair. Pigment in this layer protects skin cells from ultraviolet rays by cells called melanocytes that produce melanin. 17 DERMIS Papillary layer—lies directly beneath the epidermis; contains small cone-shaped projections (called papillae) of elastic tissue that point upward to the epidermis. Some papillae contain looped capillaries. Others contain nerve fiber endings for the sense of touch called tactile corpuscles; contains melanin. Reticular layer—contains fat cells, blood and lymph vessels, sweat and oil glands, hair follicles, and arrector pili muscles. Supplies skin with oxygen and nutrients. 17 HOW SKIN IS NOURISHED Blood and lymph circulate through skin and contribute essential material for growth, nourishment, and repair of skin, hair, and nails. 17 NERVES OF THE SKIN Motor nerve fibers—distributed to arrector pili muscles Sensory nerve fibers—react to heat, cold, touch, pressure, and pain; send messages to the brain; found in papillary layer; abundant in fingertips Secretory nerve fibers—distributed to sweat and oil glands; regulate excretion of perspiration and control flow of sebum to the surface of the skin 17 SKIN COLOR Skin color depends on blood supply. Melanin, the pigment deposited inside the stratum germinativum and the papillary layer in the dermis. Hereditary traits vary among races and nationalities. Dark skin contains more melanin; light skin contains less. Figure 17-3 17 STRENGTH and FLEXIBILITY Collagen Fibrous protein that gives skin form and strength Elastin Protein base that forms elastic tissue 17 GLANDS OF THE SKIN SUDORIFEROUS GLANDS Also called sweat glands Have coiled base and tube-like duct to skin surface Are numerous on palms, soles, forehead, and armpits Regulate body temperature Help eliminate waste Eliminate 1 to 2 pints of salty liquid daily; controlled by the nervous system 17 GLANDS OF THE SKIN SEBACEOUS GLANDS These are oil glands. They are little sacs that open to skin’s surface. They secrete sebum. They are found everywhere except on palms and soles. Sebum flows from ducts to follicles. If duct is clogged, oil will harden and a blackhead will form. 17 FUNCTIONS OF THE SKIN PROTECTION SENSATION - Injury - Bacteria - Heat - Touch - Pressure - Pain EXCRETION SECRETION ABSORPTION - Perspiration takes salt and other chemicals with it - Oil lubricates skin - Emotional stress will increase the flow - Limited but will absorb - Female hormones - Creams HEAT REGULATION - Protects the body from environment 17 FUNCTIONS OF THE SKIN SENSORY NERVE ENDINGS OF THE SKIN Figure 17-5 17 AGING OF THE SKIN The sun The environment Health habits General lifestyle Cigarette smoking has been linked to premature aging and wrinkling. 17 SUN AND ITS EFFECTS SUN EFFECT 80% to 85% of aging is caused by the sun’s rays. UVA rays Aging rays 90% of sun’s ultraviolet rays UVB rays Burning rays Effects on melanocytes, cells that produce melanin 17 SUN AND ITS EFFECTS PRECAUTIONS Wear protective lotion Avoid sun exposure during peak hours Apply sunscreen liberally after swimming Avoid exposing children under six months Wear hat and protective clothing outdoors 17 SKIN AGING AND THE ENVIRONMENT ENVIRONMENTAL FACTORS Pollutants from factories Emissions from automobiles Secondhand cigarette smoke DEFENSE Good daily skin care routine Washing and exfoliating Using moisturizers, protective lotions, foundation 17 DISORDERS OF THE SKIN Primary lesions (LEE-zhuns) Bulla Cyst Macule Papule Pustule Tubercle Tumor Vesicle Wheal Figure 17-6 17 DISORDERS OF THE SKIN Secondary lesions Crust Excoriation Fissure Keloid Scale Erosion Ulcer Figure 17-10 17 DISORDERS OF THE SKIN SEBACEOUS (OIL) GLANDS Comedone—blackhead; worm-like mass of hardened sebum in hair follicle Milia—whiteheads caused by accumulation of sebaceous matter beneath skin Figure 17 - 12 17 DISORDERS OF THE SKIN SEBACEOUS (OIL) GLANDS Acne—skin disorder characterized by chronic inflammation of the sebaceous glands from retained secretions Seborrhea—excessive secretion of sebaceous glands Figure 17-14 17 DISORDERS OF THE SKIN SEBACEOUS (OIL) GLANDS Asteatosis—excessive dryness; scaly skin; partial deficiency of sebum Rosacea—chronic congestion appearing primarily on the cheeks and nose Steatoma—tumor in the subcutanous tissue filled with sebum ranging in size from a pea to an orange Figure 17-15 17 DISORDERS OF THE SKIN SUDORIFEROUS (SWEAT) GLANDS Anhidrosis (an-hih-DROH-sis)—lack of perspiration, often a result of fever Bromhidrosis (broh-mih-DROH-sis)—foul smelling perspiration 17 DISORDERS OF THE SKIN Hyperhidrosis (hy-per-hy-DROH-sis)— excessive perspiration Miliaria rubra—prickly heat; an acute disorder characterized by eruption of small red vesicles resulting in burning and itching; caused by excessive heat 17 DISORDERS OF THE SKIN SKIN INFLAMMATIONS Dermatitis—inflammatory condition of skin with lesions Eczema (EG- zuh-muh)— skin inflammation of acute or chronic nature, presenting many forms of dry or moist lesions; accompanied by itching or burning Figure 17-16 17 DISORDERS OF THE SKIN Herpes simplex—recurring virus infection, commonly called fever blisters Psoriasis (suh-RY-uh-sis)— common, chronic, inflammatory skin disease found on scalp, elbows, knees, and chest Figure 17 -18 17 DISORDERS OF THE SKIN OCCUPATIONAL DISORDERS Abnormal conditions can result from contact with chemicals or tints. Allergies can be developed to ingredients in cosmetics, antiseptics, perm solutions, and aniline derivative tints. These can cause dermatitis venenata–eruptive skin infections. To prevent, use rubber gloves and protective creams. 17 DISORDERS OF THE SKIN PIGMENTATIONS OF THE SKIN Lentigines—freckles; small yellow- to brown-colored spots on parts exposed to sunlight and air Leukoderma—abnormal white patches in the skin due to congenital defective pigmentation Nevus—birthmark Stains—abnormal brown skin patches having a circular or irregular shape; occur during aging, after certain diseases, and after disappearance of moles, freckles, and liver spots 17 DISORDERS OF THE SKIN PIGMENTATIONS OF THE SKIN Tan—caused by exposure of the sun Chloasma—increased deposits of pigment in the skin; found mainly on forehead, nose, and cheeks; also called moth patches or liver spots Albinism—the absence of melanin pigment of the body, skin, hair, and eyes Vitiligo—acquired condition of leukoderma affecting skin or hair 17 DISORDERS OF THE SKIN HYPERTROPHIES OF THE SKIN Keratoma—an acquired thickened patch of skin or epidermis due to pressure of friction on hands and feet. If it grows inward, it is called a corn. Mole—small, brownish spot or blemish on the skin, believed to be inherited; range in color from pale tan to brown to bluish black. Some are small and flat; others are raised and darker. DO NOT REMOVE HAIR FROM MOLES. 17 DISORDERS OF THE SKIN HYPERTROPHIES OF THE SKIN Skin tag—small brown or flesh-colored outgrowth of the skin Verruca (vuh-ROO-kuh) or wart—caused by a virus and is infectious; can spread from one location to another, particularly along a scratch in the skin 17 DISORDERS OF THE SKIN SKIN CANCER Basal cell carcinoma (kar-sin-OH-muh) Figure 17-23 17 DISORDERS OF THE SKIN SKIN CANCER Squamous (SKWAY-mus) cell carcinoma Malignant melanoma (mel-uh-NOH-muh) Figure 17-25 17 MAINTAINING HEALTH OF THE SKIN VITAMINS and SUPPLEMENTS Vitamin A Aids in health, function, and repair of skin cells Is an antioxidant that can help prevent skin cancer Can improve skin’s elasticity Known as retinoic acid or Retin-A as a prescription cream Vitamin C Needed for proper repair of skin and tissues Speeds up healing process Promotes collagen production 17 MAINTAINING HEALTH OF THE SKIN VITAMINS and SUPPLEMENTS Vitamin D Promotes healthy skin Promotes rapid healing of the skin Vitamin E Helps to heal damage to skin’s tissues Topically, helps heal structural damage to skin 17 MAINTAINING HEALTH OF THE SKIN VITAMINS and SUPPLEMENTS Water Composes 50% to 70% of body’s weight Sustains health of the cells Aids in elimination of toxins and waste Helps regulate body’s temperature Average person’s needs—8 to 10 (8 ounces) glasses of water a day Dehydration Slows metabolism 75% of Americans chronically dehydrated 17 SKIN DISEASE DEFINITIONS disease—any departure from normal state of health acute disease—one with symptoms of a more or less violent character such as fever chronic disease—one of long duration, mild but recurring infectious disease—due to bacterial or viral germs resulting from contact with contaminated objects contagious—communicable by contact congenital—born with it 17 SKIN DISEASE DEFINITIONS seasonal—influenced by weather occupational—due to certain kinds of employment that involve coming in contact with chemicals and the like parasitic disease—one caused by parasites (ringworm) pathogenic disease—produced by disease-causing bacteria (staph or strep viruses) systemic—due to under- or overfunctioning of internal glands; may be caused by a faulty diet 17 SKIN DISEASE DEFINITIONS venereal disease—contagious, caused by contact with an infected person during sexual intercourse epidemic—simultaneously attacks a large number of people living in a particular locality (flu, smallpox) allergy—a sensitivity to normally harmless substances such as cosmetics, medicines, tints, and certain foods inflammation—characterized by redness, pain, swelling, or heat 17 SUMMARY The skin is the largest organ of the body and protects us from the environment. It regulates body temperature and provides sensation. Skin can be affected quite easily by most salon services. It is important that you know what products can penetrate the skin and what effects they will have on your clients. By learning to identify various diseases and disorders of the skin, you will be able to provide more effective and safe services for your clients. 17