Dermis

Dermis

Overview

  • The dermis is the second layer of the skin.

  • It is 10 to 40 times thicker than the epidermis.

Components

  • Appendages of the Skin:

    • Hair follicles

    • Sebaceous glands

    • Two types of sweat glands:

      • Eccrine

      • Apocrine

  • Structure:

    • 80% moisture

    • Elastin fibers for elasticity

    • Collagen fibers for structural support

Collagen

  • Represents about 70% of the dermal proteins.

  • Provides:

    • Resistance

    • Resilience

    • Traction

  • 20 different types of collagen identified; collagen I and III are most common.

  • Optimum wound healing starts with thin collagen fibers, increasing in thickness.

Keloids

  • Formed when wound healing begins with thicker collagen forms.

Additional Components

  • Structural glycoproteins and glycosaminoglycans:

    • Responsible for hydration and suppleness

    • Regulate permeability and provide pressure resistance

    • Influence protein orientation.