Why is it important for a surgeon to choose—when possible—an incision pattern according to the skin's tension lines?
Ch. 5 The Integumentary System
Martini, Nath, Bartholomew11th EditionFundamentals of Anatomy & PhysiologyISBN: 9780136874089Not the one you use?Change textbook
Chapter 5, Problem 18
What two major layers constitute the dermis, and what components are in each layer?
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Identify the two major layers of the dermis: the papillary layer and the reticular layer.
Describe the papillary layer as the upper, thinner layer composed mainly of loose connective tissue, containing capillaries, sensory neurons, and dermal papillae that interlock with the epidermis.
Explain that the papillary layer contains components such as fibroblasts, mast cells, macrophages, and small blood vessels that nourish the epidermis.
Describe the reticular layer as the deeper, thicker layer made of dense irregular connective tissue, which provides strength and elasticity to the skin.
List the components of the reticular layer, including collagen and elastin fibers, larger blood vessels, lymph vessels, sweat glands, sebaceous glands, hair follicles, and deep pressure receptors.

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Key Concepts
Here are the essential concepts you must grasp in order to answer the question correctly.
Structure of the Dermis
The dermis is the thick layer of skin beneath the epidermis, providing strength and flexibility. It is primarily composed of connective tissue and supports various skin functions.
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The Dermis Example 1
Papillary Layer
The papillary layer is the upper, thinner part of the dermis made of loose connective tissue. It contains capillaries, sensory neurons, and dermal papillae that interlock with the epidermis, aiding nutrient exchange and sensation.
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Introduction to Capillaries
Reticular Layer
The reticular layer is the deeper, thicker part of the dermis composed of dense irregular connective tissue. It houses collagen and elastin fibers, blood vessels, sweat glands, hair follicles, and nerve endings, providing strength and elasticity.
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Epidermal Layers: Stratum Lucidum (Clear Layer)
Related Practice
Textbook Question
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Textbook Question
In which layer(s) of the epidermis does cell division occur?
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Textbook Question
List the four phases in the regeneration of the skin after an injury.
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Textbook Question
The cutaneous plexus and subpapillary plexus consist of
a. Blood vessels providing the dermal blood supply.
b. A network of nerves providing dermal sensations.
c. Specialized cells for cutaneous sensations.
d. Gland cells that release cutaneous secretions.
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Textbook Question
What widespread effects does epidermal growth factor (EGF) have on the integument?
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Textbook Question
In clinical practice, drugs can be delivered by diffusion across the skin. This delivery method is called transdermal administration. Why are fat-soluble drugs more suitable for transdermal administration than drugs that are water soluble?
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