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A record of skin creases and folds
Authors:Andreas Mallouris  Andreas Yiacoumettis  Vasilios Thomaidis  Anastasios Karayiannakis  Constantinos Simopoulos  Despoina Kakagia  Alexandra K. Tsaroucha
Affiliation:1. Department of Plastic Surgery, Democritus University of Thrace, Athens, Greece
2. Department of Plastic Surgery, Iaso General Hospital Athens, Athens, Greece
3. Department of Anatomy, Democritus University of Thrace, Athens, Greece
4. 2nd Surgery Department, Democritus University of Thrace, Athens, Greece
5. 1st Surgery Department, Democritus University of Thrace, Athens, Greece
Abstract:The skin creases of the human body are features of great anatomical, morphological, and surgical interest and important for the maintenance of the contour of each anatomic area. In the literature, when referring to a skin crease, there is variation of terms used other than “crease,” such as “fold” and “sulcus,” but these terms do not accurately reflect their histology structure nor their function. In the review of literature, a record of the creases of the human body for each anatomic area, including the synonyms that are used for each crease in the literature, has been attempted. The skin crease as a fixed and permanent line, according to their histology, is related to connective tissue attachments with the underlying structures or extensions of the underlying muscle fibers in the dermis of the crease site. The skin fold is characterized by skin redundancy that is responsible partly, often in combination with connective tissue attachments, for the skin crease. It is essential to use appropriate terms that accurately reflect the anatomic structure and histology when referring to the skin lines.
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