Mechanical Behaviour of Human Skin in Vivo

The mechanical properties of human skin are of great importance to predict skin doming in a shaver. Brokken [1] showed that among others the role of the different skin layers is important. The goal of this joint PhD-project by Eindhoven University of Technology and PCI is to determine the mechanical properties of different skin layers. Current knowledge suggests that this goal can be achieved by combining (existing) skin imaging methods with mechanical experiments. This literature review describes the available knowledge on the structure of the skin, some imaging methods that can be used to visualize the different skin layers, and a variety of mechanical experiments that have been performed on the skin. A detailed description is given of ultrasound (US), confocal microscopy (CM), optical coherence tomography (OCT) and nuclear magnetic resonance (NMR), all applied to the skin. Some features of the overall mechanical behaviour of the skin and some skin components are described. An extended review is given on mechanical experiments applied to in vivo human skin (tensile tests, torsion tests, suction and indentation tests) and on mechanical experiments applied to the stratum corneum (both in vivo and in vitro). Conclusions: The structure of the skin is very complex. In this project 4 layers will be considered: the stratum corneum, the epidermis, the dermis (fibres and matrix) and the subcutaneous fat. A large variety of mechanical experiments have been performed on the skin in the past. However, in most cases little effort has been made to describe the observed material behaviour with appropriate constitutive models. In all but one publication (Diridollou et al. [2]) only superficial skin behaviour was measured. Usually, no difference is made in the contribution of the different layers, though it has been known for almost 3 decades that the c ©Koninklijke Philips Electronics N.V. 2001 iii 2001/820 Unclassified Report mechanical behaviour of the stratum corneum is strongly influenced by environmental conditions. The goal of the current project is to develop a numerical model that is capable to describe the non-linear and time-dependent behaviour of the skin, taking its stratified structure into account. To achieve this goal, a combination of mechanical experiments of different kinds (e.g. parallel and perpendicular to the skin surface) and on different length scales will be developed. Based on the results of numerical simulations of indentation and suction experiments on a 4 layer skin model, it is chosen to measure subsurface deformation during suction. Experiments will be performed for various aperture sizes to excite the different skin layers. Subsurface deformation will be measured with US, OCT and CM. iv c ©Koninklijke Philips Electronics N.V. 2001 Unclassified Report 2001/820

[1]  R Birngruber,et al.  Optical coherence tomography of the skin. , 1998, Current problems in dermatology.

[2]  R. Webb,et al.  Video-rate confocal scanning laser microscope for imaging human tissues in vivo. , 1999, Applied optics.

[3]  Walter Maurel,et al.  Biomechanical Models for Soft Tissue Simulation , 2003, Esprit Basic Research Series.

[4]  J. Mansour,et al.  Analysis of shear wave propagation in skin; application to an experimental procedure. , 1990, Journal of biomechanics.

[5]  Reginald Birngruber,et al.  Optical coherence-gated imaging of biological tissues , 1996 .

[6]  Ricardo Toledo-Crow,et al.  Confocal laser microscopy of the in-vivo human skin revisited , 1999, Photonics West - Biomedical Optics.

[7]  Gf Odland,et al.  The structure of the skin , 1991 .

[8]  A. Mak,et al.  In vivo friction properties of human skin , 1999, Prosthetics and orthotics international.

[9]  A. C. Park,et al.  Rheology of stratum corneum--I: A molecular interpretation of the stress-strain curve , 1972 .

[10]  B. Querleux,et al.  Assessment of aging of the human skin by in vivo ultrasonic imaging. , 1989, The Journal of investigative dermatology.

[11]  Y. Lanir Constitutive equations for fibrous connective tissues. , 1983, Journal of biomechanics.

[12]  Jean-Luc Leveque,et al.  In vivo measurement of the stratum corneum elasticity , 1985 .

[13]  R. Schülke [Anatomy and physiology]. , 1968, Zahntechnik; Zeitschrift fur Theorie und Praxis der wissenschaftlichen Zahntechnik.

[14]  P. Corcuff,et al.  In vivo confocal microscopy of human skin: a new design for cosmetology and dermatology. , 2006, Scanning.

[15]  S. Paddock,et al.  Confocal laser scanning microscopy. , 1999, BioTechniques.

[16]  H G Vogel,et al.  [Mechanical properties of the skin]. , 1972, Archiv fur dermatologische Forschung.

[17]  R J Minns,et al.  The role of the fibrous components and ground substance in the mechanical properties of biological tissues: a preliminary investigation. , 1973, Journal of biomechanics.

[18]  D L Bader,et al.  Mechanical characteristics of skin and underlying tissues in vivo. , 1983, Biomaterials.

[19]  T. Krouskop,et al.  Elastography: Ultrasonic estimation and imaging of the elastic properties of tissues , 1999, Proceedings of the Institution of Mechanical Engineers. Part H, Journal of engineering in medicine.

[20]  V. Langer,et al.  Zur Anatomie und Physiologie der Haut. I. Über die Spaltbarkeit der Cutis , 1861 .

[21]  Pre-tension and anisotropy in skin , 1995 .

[22]  A. Brasileiro,et al.  SUBCUTANEOUS fat. , 1953, Nutrition reviews.

[23]  J. Mansour,et al.  The effects of layer properties on shear disturbance propagation in skin. , 1991, Journal of biomechanical engineering.

[24]  G. Ripandelli,et al.  Optical coherence tomography. , 1998, Seminars in ophthalmology.

[25]  R. Webb,et al.  In vivo confocal scanning laser microscopy of human skin II: advances in instrumentation and comparison with histology. , 1999, The Journal of investigative dermatology.

[26]  Philip L. Kelton,et al.  Physiology, Biochemistry, and Molecular Biology of the Skin , 1993 .

[27]  J M Schmitt,et al.  Subsurface imaging of living skin with optical coherence microscopy. , 1995, Dermatology.

[28]  F. Foster,et al.  Ultrasonic and viscoelastic properties of skin under transverse mechanical stress in vitro. , 1998, Ultrasound in medicine & biology.

[29]  P Crozat,et al.  High‐temperature superconducting surface coil for in vivo microimaging of the human skin , 2001, Magnetic resonance in medicine.

[30]  L From,et al.  A 40-100 MHz B-scan ultrasound backscatter microscope for skin imaging. , 1995, Ultrasound in medicine & biology.

[31]  P Corcuff,et al.  Skin imaging: state of the art at the dawn of the year 2000. , 1998, Current problems in dermatology.

[32]  M. S. Pembrey THE FUNCTIONS OF THE SKIN , 1910 .

[33]  J. Manschot,et al.  The measurement and modelling of the mechanical properties of human skin in vivo--I. The measurement. , 1986, Journal of biomechanics.

[34]  A. Vexler,et al.  Evaluation of skin viscoelasticity and anisotropy by measurement of speed of shear wave propagation with viscoelasticity skin analyzer. , 1999, The Journal of investigative dermatology.

[35]  B Finlay,et al.  Scanning electron microscopy of the human dermis under uni-axial strain. , 1969, Biomedical engineering.

[36]  A Viidik,et al.  The role of elastin in the mechanical properties of skin. , 1988, Journal of biomechanics.

[37]  R. Wildnauer,et al.  The mechanical properties of stratum corneum. I. The effect of water and ambient temperature on the tensile properties of newborn rat stratum corneum. , 1975, Biochimica et biophysica acta.

[38]  G. Piérard,et al.  EEMCO Guidance to the in vivo Assessment of Tensile Functional Properties of the Skin , 1999, Skin Pharmacology and Physiology.

[39]  R M Kenedi,et al.  Biomechanical properties of skin. , 1967, The Surgical clinics of North America.

[40]  J. Lévêque,et al.  Age-related mechanical properties of human skin: an in vivo study. , 1989, The Journal of investigative dermatology.

[41]  J. Manschot,et al.  The mechanical properties of human skin in vivo , 1985 .

[42]  B R Masters,et al.  Three‐dimensional microscopic biopsy of in vivo human skin: a new technique based on a flexible confocal microscope , 1997, Journal of microscopy.

[43]  Milind Rajadhyaksha,et al.  Confocal laser microscope images tissue in vivo , 1997 .

[44]  C. Daly Biomechanical properties of dermis. , 1982, The Journal of investigative dermatology.

[45]  W. Hayes,et al.  A mathematical analysis for indentation tests of articular cartilage. , 1972, Journal of biomechanics.

[46]  P Corcuff,et al.  In vivo spatio-temporal visualization of the human skin by real-time confocal microscopy. , 1994, Scanning.

[47]  Yong-Ping Zheng,et al.  An ultrasound indentation system for biomechanical properties assessment of soft tissues in-vivo , 1995, IEEE Transactions on Biomedical Engineering.

[48]  R. Meijer,et al.  Characterisation of Anisotropic and Non-linear Behaviour of Human Skin In Vivo. , 1999, Computer methods in biomechanics and biomedical engineering.

[49]  R. Wildnauer,et al.  Stratum corneum biomechanical properties. I. Influence of relative humidity on normal and extracted human stratum corneum. , 1971, The Journal of investigative dermatology.

[50]  R. Webb,et al.  In vivo confocal scanning laser microscopy of human skin: melanin provides strong contrast. , 1995, The Journal of investigative dermatology.

[51]  F Patat,et al.  An in vivo method for measuring the mechanical properties of the skin using ultrasound. , 1998, Ultrasound in medicine & biology.

[52]  A. Ohkawara [Structure and function of the skin]. , 1983, Iyo denshi to seitai kogaku. Japanese journal of medical electronics and biological engineering.