13 Facts About Skin

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Skin isn't just the outermost layer of our bodies. Without it, we couldn't do most of the things we take for granted, like breathing, moving, and keeping the body's inner workings where they belong. And while skin also evolved to keep pathogens and other bad stuff out of our bodies, consumers spend millions of dollars on products to penetrate that defense (with mixed results). Read on for more fascinating facts about the skin.

1. YOUR SKIN HAS THREE DISTINCT LAYERS.

Skin is considered an organ in its own right. It's comprised of three layers: the waterproof top layer, the epidermis; a middle layer of tougher connective tissue, hair follicles, and glands called the dermis; and the inner layer, the hypodermis, which is mostly fat and connective tissue that supports the skin's structure and attaches it to muscles.

2. SKIN COLOR IS DETERMINED BY CELLS IN THE EPIDERMIS.

Those cells are known as melanocytes, which secrete a pigmented substance called melanin; the more melanin in the cells, the darker the skin. Having too little or too much melanin can lead to some skin color disorders: On one end of the spectrum are conditions like vitiligo—which occurs when some melanocytes lose the ability to produce melanin, resulting in whitish patches on the skin—and albinism, a condition in which melanocytes don't produce any melanin. On the other end is hyperpigmentation—the presence of excess melanin, which can cause darker patches of skin.

3. YOUR SKIN COULD WEIGH MORE THAN 20 POUNDS.

"Your skin accounts for 15 percent of your body weight," says Toral Patel, M.D., a board-certified dermatologist and supervising physician at D&A Dermatology in Chicago and a clinical instructor of medicine at Northwestern University. This makes it your body's largest organ.

According to that calculation and data from the Centers for Disease Control and Prevention, an average American woman weighs 168.5 pounds and carries more than 25 pounds of skin. An average man weighing 195.7 pounds will have nearly 30 pounds of skin.

4. YOUR SKIN RENEWS ITSELF EVERY 28 TO 30 DAYS.

New cells are created in that deep layer of the skin and take about four weeks to rise to the surface. There, they grow hard and then shed. This process, in which old skin is sloughed off and replaced by newer skin, might occur more than 1000 times over the average American's lifespan. But all skin is not created equal: Its thickness varies naturally among all areas of the body. Thickness can also be affected by age, gender, and habits (like smoking) that can change the cells' elasticity and other traits. According to Patel, the skin on the soles of your feet is up to seven times thicker than the skin of your eyelids.

5. TATTOOS STAY PUT, THANKS TO CELLS CALLED MACROPHAGES.

If your skin cells shed every month, how do tattoos stick around? It turns out to be a function of your immune system. The puncture of the tattoo needle causes inflammation in the dermis, the skin's middle layer. In response, white blood cells known as macrophages are sent in to help heal the damage. These macrophages "eat" the dye and can pass it to newer macrophages when they die off, so the pigment is essentially transferred from one cell to another. Any leftover pigment is soaked up by fibroblasts, which are longer-lasting skin cells that don't regenerate as often. Only lasers designed for tattoo removal are strong enough to kill off the macrophages and fibroblasts that hold the dye.

6. YOUR SKIN IS HOST TO BILLIONS OF CREATURES.

Your skin hosts a microbiome that can contain more than 1000 types of bacteria (along with other microbes, viruses, and pathogens). These "tiny ecosystems," as Patel describes them, are mostly friendly bacteria that work in concert with our bodies for many beneficial purposes, including wound healing, reducing skin inflammation, and assisting the immune system to help fight infection. These bacteria were once thought to outnumber your own cells 10 to one, but more recent research has found the ratio is closer to 1:1.

7. ANCIENT EGYPTIANS PUT SALT (AND OTHER FOODS) IN THEIR WOUNDS.

Injuring or breaking the skin's dermis, the layer below the epidermis, can expose the inner tissues to pathogens. To prevent infections from reaching any further into the skin, body fat, or muscle, ancient Egyptians cared for topical wounds with salt (yes, really!), fresh meat, moldy bread, and onions.

While these may seem like unsanitary things to put on a cut, modern research has found that there was actually merit in their methods. With its high iron content, meat was a good blood coagulant and recommended for the first day of a wound, according to a 2016 paper in the Journal of the German Society of Dermatology. Salt and onions are both astringent, which can stop blood flow. Moldy bread likely had antibacterial properties—a very early form of penicillin, you might say. Skin wounds would then be sealed with a combination of oils, fats, honey, and plant fibers.

8. YOUR BODY'S FLUID BALANCE DEPENDS ON SKIN.

Your skin is a significant shield against billions of tiny microbes and pathogens. But just as importantly, skin keeps fluids in. Another way to think of this, Patel says, is that your skin resembles a brick and mortar pattern. The bricks are the cells. The mortar is made up of lipids, fatty acids, and other sticky proteins that form the watertight layer. "If you have any ‘holes' in skin where moisture can escape, which are more susceptible to damage, that leads to dryness, cracking, and inflammation," Patel says.

People who have suffered burns often have fluid-balance problems, says Robert T. Brodell, M.D., professor of dermatology at University of Mississippi Medical Center in Jackson, Mississippi. "Fluids are seeping out, and they can't keep them balanced internally," he tells Mental Floss. This can be incredibly dangerous, because fluid loss can cause the heart to stop pumping blood to the rest of the body. Dehydration, hypertension, and other problems may also occur when skin is injured.

9. A SKIN CONDITION CAN PUT YOU AT GREATER RISK OF OTHER DISEASES.

Psoriasis is an autoimmune condition in which the skin cells in an affected area grow rapidly, leading to excess skin buildup, inflammation, and a red and scaly rash. While it can be uncomfortable to live with the condition on its own, studies [PDF] have shown that inflammation of the skin can lead to inflammation of other tissues and internal organs, and eventually certain diseases. For example, psoriasis has been linked to a greater risk for heart disease, as well as diabetes, Crohn's disease, metabolic syndrome, and other conditions thought to be correlated with inflammation.

Patel says that association makes treatment even more important: "If one organ is inflamed, you have to make sure another isn't."

10. YOUR LEGS MAY BE THE DRIEST PART OF YOUR BODY.

Unless you live in the tropics, you've probably noticed that the skin of your lower legs becomes drier in winter—and there's a biological reason for that. "You have fewer oil glands on your legs than any other area of your body," Brodell tells Mental Floss. Oil (or sebaceous) glands, found near the dermis's border with the epidermis, secrete an oily substance called sebum that lubricates skin and hair. As people age, the glands secrete less oil, and that means drier skin. Winter's low humidity and our tendency to spend more time around heat sources dries out skin even more.

The solution is to install a humidifier or apply some moisturizer. Certain skincare products, such as those with emulsifiers like sodium laureth sulfate, can also dry out or irritate your skin, so read your labels carefully.

11. OVERHEATING IS A RISK IF YOU LACK SWEAT GLANDS.

Both types of sweat glands are also located in the dermis. Eccrine glands, found all over the body, emit sweat directly through pores in the epidermis. Apocrine glands release sweat along hair follicles, so it's no surprise that these glands are concentrated in the hairiest parts of the body—head, armpit, and groin. Both types help regulate body temperature: In hot conditions, the glands release water and fatty liquids to cool the skin.

A lack of sweat glands puts people in danger of overheating. Those with a condition known as anhidrotic ectodermal dysplasia have few to no sweat glands, so they can't properly cool off when the body overheats. "They get heatstroke easily," Brodell says. A subset of people with this disorder suffer from immunodeficiency. They produce low levels of antibodies and infection-fighting immune T- and B-cells, so they are more prone to skin and lung infections.

12. YOUR GUT AND YOUR SKIN ARE SYMBIOTIC.

The gut and the skin never come into direct contact with one another, yet research shows that the gut has a profound impact on the skin.

"The skin becomes very unhealthy when the microbiome of the gut goes into a state of dysbiosis," meaning when something attacks the gut's good bacteria, says Gregory Maguire, Ph.D., a former professor of neuroscience at UC San Diego and the founder and chief scientific officer of BioRegenerative Sciences, a stem-cell technology company.

Dysbiosis can lead to inflammation, irritation, rashes, and pain. "There's good evidence that eczema [or] atopic dermatitis is partially due to dysbiosis of the gut and skin," he says.

In a 2017 paper published in the Archives of Dermatological Research, Maguire writes that normal gut bacteria can actually calm the body's response to stress. A reduction in the release of the stress hormone cortisol, which is thought to cause breakouts, also reduces the chance of skin irritation—all thanks to microbes in your intestine.

13. RESEARCHERS ARE USING "GOOD" BACTERIA TO TREAT ACNE.

When the skin's pores get clogged with sebum from the sebaceous glands and dead cells, a condition usually associated with hormonal changes, you've got acne. Clogged pores that stay closed are called whiteheads; if the pore opens and reveals the gunk inside, it's a blackhead. (The medical term for a blackhead, an "open comedo," stems from a Latin phrase alluding to "worms which devour the body." But don't worry, blackheads are not actual worms living in your face.)

While acne may seem like a rite of passage associated with puberty, researchers are experimenting with fighting "bad" bacteria (in this case, Propiobacterium acnes, which is linked to acne breakouts) with "good" bacteria, also known as probiotics. "One of the things [probiotics] do is ferment things on the skin like ammonia and nitrites, and metabolize it and turn it into other chemicals that are beneficial to the stem cells in your skin," Maguire explains. A 2015 study in the Journal of Women's Dermatology and other research has found that applying topical probiotics like Streptococcus salivarius and Streptococcus thermophiles inhibits P. acnes and may make skin more resilient against it in the long run.

The Surgeon Who Removed His Own Appendix

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On February 15, 1921, Dr. Evan O’Neill Kane decided to test a theory. At the time, people with heart conditions and other serious ailments could not undergo most basic surgeries because general anesthesia was considered too dangerous. Rather than knocking these patients out, Kane wondered if he could simply give them a local anesthetic.

There was only one way to be sure: Kane decided to give himself an appendectomy.

As the chief surgeon at Kane Summit Hospital in Pennsylvania, Kane could probably perform the procedure blindfolded. The 60-year-old physician had performed more than 4000 appendectomies over his 37-year medical career. (Besides, the timing was right: He had chronic appendicitis and the organ needed to be removed anyway.)

For his experiment, Kane decided to numb the area with novocaine. “Sitting on the operating table propped up by pillows, and with a nurse holding his head forward that he might see, he calmly cut into his abdomen, carefully dissecting the tissues and closing the blood vessels as he worked his way in,” The New York Times reported. “Locating the appendix, he pulled it up, cut [it] off, and bent the stump under.” Finished with the dirty work, he let his assistants tie up the wound.

When a reporter visited a few hours later, Kane declared he was “feeling fine” [PDF].

Overall, he was pleased with the procedure. “I now know exactly how the patient feels when being operated upon under local treatment, and that was one of the objects I had in mind when I determined to perform the operation myself,” Kane later explained to The New York Times [PDF]. “I now fully understand just how to use the anesthesia to best advantage when removing the appendix from a person who has heart or other trouble that prohibits the use of a complete anesthesia.”

This was hardly the beginning—or end—to Kane’s career as his own surgeon. Two years earlier, he had amputated his own infected finger. And 10 years after the self-appendectomy, when he was 70, Kane calmly operated on his own hernia, joking with nurses throughout the whole 50-minute operation. Thirty-six hours later, he was back in the operating room, this time patching up other people.

Kane wouldn't be the last doctor to scoop out his own appendix. In 1961, Leonid Rogozov, the sole physician at the Soviet Union's Antarctic research station, performed an emergency self-appendectomy with the station's meteorologist and mechanic as his assistants [PDF]. More recently, Beirut surgeon Dr. Ira Kahn allegedly removed the organ himself in 1986. Unlike Kane, however, Kahn didn’t put himself under the knife for the sake of a medical experiment: Stuck in a traffic jam and unable to make it to the hospital for emergency surgery, he performed the procedure from the comfort of his car.

10 Smart Facts About Wisdom Teeth

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Like puberty and your first heartbreak, the painful process of getting your wisdom teeth removed is one of those cumbersome coming-of-age rituals that many people are forced to endure. But why do we have wisdom teeth when they seem to only cause problems? Read on to find out more about the humble third molar—the last tooth many of us get as adults.

1. THEY HAVEN’T SERVED ANY PURPOSE FOR HUNDREDS OF THOUSANDS OF YEARS.

Imagine, for a moment, that you’re a prehistoric man or woman. You subsist largely on raw meat, roots, and leaves. You’d need some pretty powerful chompers to cut up your food, right? That was where your third molars—also known as wisdom teeth—came in. Today, our palates are a little more refined, and we prefer softer foods (think avocado toast and smoothies). Plus, modern cooking tools have put our wisdom teeth out of business.

They’re not just pointless, though—they’re also problematic. Wisdom teeth are a “scar of human evolution,” according to Princeton University researcher Alan Mann. About 800,000 to 200,000 years ago, early humans’ brains started growing at a rapid pace—so much so that they ballooned to three times their original size. When that happened, it changed the shape of the braincase (the back part of the skull) and its position relative to the dental arcade (rows of teeth). The dental arcade shortened, and suddenly there was no longer enough room for third molars. And since the genes that determine the makeup of our teeth evolve separately from those that control brain development, humans were stuck dealing with the consequences of a crowded mouth, according to Live Science.

2. NATURE MAY EVENTUALLY SORT IT OUT, THOUGH.

On the bright side, scientists say evolution may eventually take care of the problem, meaning that people in the future would not develop wisdom teeth. It’s anyone’s guess as to when this will occur, though. “On the evolutionary scale, if I had to predict down the road—centuries probably—wisdom teeth are going to be one of the things that humans probably won’t have anymore,” Dr. William McCormick, assistant clinical professor at West Virginia University’s School of Dentistry, tells Mental Floss.

3. THE NUMBER OF WISDOM TEETH VARIES FROM PERSON TO PERSON ...

It’s possible that you have one, two, three, four, or none at all. Another possibility, although it’s rare, is to have more than four wisdom teeth, which are called supernumerary teeth. “In my career, I have seen two cases where patients have had fourth molars—or two sets of wisdom teeth,” McCormick says. (Comparatively, humans’ ancestors had quite the mouthful, with 12 wisdom teeth in total.)

According to McCormick, genetic factors like jaw size might determine the number of wisdom teeth that a person has. Your lineage may also have something to do with it. Practically no Aboriginal Tasmanians have third molars, but almost 100 percent of indigenous Mexicans have at least one wisdom tooth. African Americans and Asian Americans are also more likely than people of European descent to have fewer than four wisdom teeth. This variation can be attributed to a random genetic mutation that arose thousands of years ago, thereby preventing the formation of wisdom teeth. This mutation is more prevalent in certain populations.

4. ... AS DOES THE NUMBER OF ROOTS THAT EACH TOOTH HAS.

The roots are the part of the tooth that form first, and then push the bud (the part that's visible in your mouth) through your gums. While wisdom teeth typically have two or three roots, they can have more. McCormick says he personally removed his wife’s wisdom teeth in the ‘70s and was surprised to see that one of them had five roots. “It looked like a spider. It was not a pleasant extraction,” he says.

For that reason, if wisdom teeth need to be removed, it’s easier to do so before the roots start to take hold. “When the roots are totally formed, they’re anchored like a tree that’s been in your backyard for 100 years,” says Dr. Ron Good, an orthodontist in southwestern Pennsylvania who runs a family practice with his brother, Dr. Bob Good. On the other hand, surgeons want some roots to grab hold of, because removing a tiny tooth bud is “like extracting a marble,” Dr. Ron tells Mental Floss.

5. YOUR WISDOM TEETH CAN ERUPT AT ANY TIME.

According to Guinness World Records, the oldest person to ever grow a wisdom tooth was 94 years old. McCormick says there's a wide variation in ages when eruption occurs; he once had a 65-year-old patient with dentures whose wisdom tooth had started to erupt (poke through the gums). “They’re crazy little beasts. You never know what you’re going to see.”

Apparently, wisdom teeth have been acting erratically for thousands of years. Aristotle documented this phenomenon in his book The History of Animals: “Cases have been known in women upwards of 80 years old where at the very close of life the wisdom-teeth have come up, causing great pain in their coming; and cases have been known of the like phenomenon in men too.”

In most cases, though, wisdom teeth erupt when you’re in your late teens or early twenties.

6. THE FIRST IMPACTED TOOTH WAS RECORDED ABOUT 15,000 YEARS AGO.

When wisdom teeth don’t have enough room to grow normally, they get stuck in the jaw and fail to erupt. These are called impacted teeth. The oldest known case of an impacted tooth was found in the skeleton of a 25- to 35-year-old woman who died some 15,000 years ago. This case cast doubt on the theory that impacted teeth are a modern ailment, caused by recent changes in our dietary habits.

7. SOME PHYSICIANS SAY THAT IMPACTED WISDOM TEETH SHOULD BE SURGICALLY REMOVED ...

Many people get their wisdom teeth removed, even if there isn’t any pain or discernible problem aside from impacting. Known as prophylactic surgery, this preventative practice is common in the U.S., but in recent years there has been some debate as to whether it’s necessary. One popular theory holds that most people either have problems with their wisdom teeth or will at some point in the future. “It’s hard to get a percentage, but probably 75 to 80 percent of people do not meet the criteria of being able to successfully maintain their wisdom teeth,” Dr. Louis K. Rafetto, who headed a task force on wisdom teeth, told The New York Times in 2011.

About 3.5 million extraction surgeries are performed each year, and according to another estimate, that adds up to be 10 million individual wisdom teeth pulled annually. Dr. Ron and Dr. Bob, of Good Orthodontics, are both of the opinion that wisdom teeth are ticking time bombs. “In our mind, we feel that wisdom teeth, in general, are of no value and are only potential problems,” Dr. Bob says. He added that third molars can interfere with your bite and cause your teeth to wear down, and in some cases, can also cause cysts, tumors, nerve damage, periodontal disease (affecting the gums and other areas around the teeth) and TMJ disorders (affecting the jaw joint). Plus, if your teeth are too crowded and you aren’t able to brush and floss them normally, it can lead to additional issues, such as gum disease and cavities.

8. ... WHILE OTHERS SAY YOU SHOULD AVOID IT.

Dental practitioners in the UK put an end to routine wisdom tooth extractions in 1998, citing a study at the University of York that reportedly found no scientific evidence to support the practice, according to the The Miami Herald.

Opposition is building in the U.S., too. Retired dentist Dr. Jay Friedman told How Stuff Works that only about 12 percent of wisdom teeth eventually cause problems. He compared that rate to the 7 to 14 percent of people who experience appendicitis, yet appendixes aren’t removed until they become a medical issue. If this seems to contradict Raffeto's statistics, it’s because there isn’t a whole lot of concrete data on the subject, and much of it is conflicting—so it really comes down to the individual physician’s and patient's preferences. “Ask three dentists the same question, and you’re going to get four different answers,” McCormick says with a laugh.

Like Friedman, McCormick doesn't support wisdom tooth removal unless there’s an infection, abscess, or other problem. “You have to weigh the surgical risk with what you’re going to try to accomplish,” he says. Like any surgery, wisdom tooth extraction poses a risk, although more serious complications, like fractured jaws and death, are extremely rare. McCormick says some possible side effects include nerve damage, infection, and dry socket (an infection of the tooth socket).

Despite the differing opinions in the dental community, McCormick, Dr. Ron, and Dr. Bob agreed that there’s no prescriptive rule for wisdom tooth removal, and that each patient should be evaluated on a case-by-case basis.

9. THEY’RE CALLED LOVE TEETH IN KOREAN.

In English, the name wisdom tooth conveys the idea that third molars come in later than other teeth, at a time when you’re older and (hopefully) wiser. Other languages don’t follow the same convention. In Korean, for example, the poetic name for third molars translates to “love teeth,” because it's around this time (late teens and early 20s) that one typically experiences their first love. The Japanese language also has a creative word for it: oyashirazu, or “unknown to parents,” since most people have already moved away from home by the time their wisdom teeth come in.

10. THEY’RE USED IN STEM CELL RESEARCH.

It turns out wisdom teeth aren't all bad. Although some of the research is still in the experimental phase, scientists are studying dental stem cells—which were discovered in 2003—to see if they can potentially be used to repair and regenerate tissue.

One study on mice, at the University of Pittsburgh’s School of Medicine, found that stem cells taken from wisdom teeth could someday be used to repair corneas that have been scarred by infection or injury. Any clinical applications for humans would require more research, though.

"There are studies with dental pulp cells being used to treat neurological disorders and problems in the eye and other things,” Dr. Pamela Robey, of the National Institute of Dental and Craniofacial Research, told CNN. “The problem is, these studies have really not been that rigorous ... the science needs a lot more work.”

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