The main cutaneous folds on the human body

All humans have folds in similar locations.
NOTE
You can only see a small portion of your cutaneous folds. However, you can feel them all with your nails.

Fold types

The folds in the skin of your body can be classified into several types, determined by their angle, origin and location.

Horizontal folds

Horizontal folds are the most common and obvious type of fold.
We all have visible horizontal folds on our forehead, neck, elbows, wrists, fingers, knees, ..., yet most of them are hard to see.
Horizontal folds keep on developing all your life.

Horizontal folds on the human body
Horizontal folds circle every part of your body. Only a few are pictured here. More folds keep on forming in between, throughout your life.

Most horizontal folds are formed in places where the skin covers an articulation.

Horizontal fold formation

As soon as the fetus starts moving, around the sixth week, its actions create horizontal folds in the skin.
Even if this horizontal folding starts very early; the initial vertical folds are already in place.

Nine-month-old fetus with horizontal folds on the wrist
Nine-month-old fetus with horizontal folds on its wrist.

At birth, some horizontal folds are already so etched-in that they've become permanent.

Permanent horizontal folds on the wrist of a newborn baby
Permanent horizontal folds on the wrist of a newborn baby.

Permanent folds compress the skin, and reduce the action of the muscles, blood vessels, and nerves that pass beneath them.
This baby's wrist is tiny, but it's already strangled.
As the body grows and the wrist enlarges, the constricting effect increases.
Horizontal folds deepen and multiply as a person ages.

Folds on adult wrist
Some folds on this adult wrist were already in place at birth.

For more information on children and cutaneous folds



Horizontal folds and articulations

Most horizontal folds occur in places where the body can be flexed.

Horizontal folds around the neck
Horizontal folds around the neck.

However, horizontal folds can also be found between articulations, and along stretches of skin that cover bones where no bending or flexing occurs.
These folds may be smaller and shallower than those at articulations, they still can be the source of pain, or aesthetic problems.

Compressed and stretched horizontal folds

The articulations on your body can only be flexed on one side.
Because of this, different kinds of folds are created on each side.
The skin that surrounds an articulation resembles a bent pipe.

Folds on a pipe
Stretched and compressed folds can be found on each side of every articulation.

Stretched folds

On the stretched side of the articulation, flexing inward causes the skin to expand and stretch, to cover a larger area.

Stretched horizontal folds on clenched fingers
Stretched horizontal folds when the joint is bent.

But, when the articulation returns to its straight position, the folds in the skin create the draping effect we are familiar with.

Stretched horizontal folds on straight fingers
Stretched horizontal folds when the joint is straight.

You bend your joints so often, that permanent folds have formed.
Besides the aesthetic problems that the dangling skin can cause, stretched folds can be painful.
They are the source of arthritis.
If you close the articulation inward, the folds prevent the skin from expanding all the way, and pain is felt.

Compressed folds

On the compressed side of the articulation, bending the joint crushes the skin.
This creates deep and tight folds, where the skin is hardened.

Compressed horizontal folds on fingers
Compressed horizontal folds.

Compressed horizontal folds pull the skin inside the articulation, more and more each day.
This prevents the articulation from closing completely, but it can cause pain every time the articulation is used.

Horizontal folds, articulations, and pain

Articulations are complex mechanisms, made of bone and cartilage, that can be flexed thousands of times every day.
The fragile skin that surrounds them is badly battered by their moving parts.
Horizontal folds are formed at every articulation, and they keep on growing larger and deeper.
They squeeze the joint more and more every time it is activated.
At some point, the skin becomes so deeply embedded in the joint that it gets pinched and crushed by the hard parts of the articulation.
You end up with pain every time you move the joint.

Knee X-ray - Wikipedia

Knee x-ray
The skin covering an articulation becomes entangled into its moving parts.

Initially, pain may only appear when the joint is fully extended or contracted, or when it is overused.
People will respond by reducing the amplitude and force of their movements, to avoid the pain.
Over time, every joint of the body becomes completely strangled by folds, making every action difficult and painful.
This pain explains why many elderly people can hardly move anymore.


Vertical folds

The main vertical folds that run from top to bottom of your body are different from your other folds.
Vertical folds are special because they originate from the formation of your embryo, in the first weeks of your life.
They are so fundamental that they pass unnoticed, and people don't consider them as folds.

In this illustration, vertical folds are shown as being equal. In reality, those placed on simple fractions of the body (½, ¼, ...) are much deeper.

Vertical folds on the human body
Basic vertical folds.

Vertical folds divide your body into halves, quarters, eighths, ....
They can be very long.
Some of them run from head to toe on one side and do the same on the other.
They circle your body, but vertically.

Vertical folds in the back
Vertical folds in the back while exercising. Observe the deep vertical center fold

Notice the two huge fold crossings, (the craters in the center of this image), where the vertical folds meet the tip of the shoulder blade.
The skin has attached itself to the shoulder blade, and any movement you make pulls on the surrounding folds, often causing pain that can contribute to your backaches, headaches, or shoulder pain.

The most important fold

The vertical center fold

The vertical center fold is the largest and most fundamental fold on your body.
It runs down the middle of your body, from your head to your buttocks.
It divides you into two symmetrical halves, creating a right and a left side of you.
Many features and organs located on one side of the center fold are mirrored on the other side, but inverted.
When you observe its path, you'll notice that your body is composed of two distinct parts that are joined along this line.

Press your nails anywhere along this line, and you will feel the fold.

The vertical center fold
The vertical center fold separates the right and left sides of your body.

The central vertical fold is responsible for all kinds of particularities and deformations along its path.
Your navel, your larynx, your mouth, your nose, your hair whorl, your spine, your anus, your buttock crease, your urethra, and your sexual organs are all in its path.
On your back, it follows your spine, but the skin is completely entangled into it.
The vertical center fold is obvious and easily visible in many places on the body, yet, despite its importance, this physical feature is completely overlooked.

Vertical center fold on abdomen
Can you locate the vertical center fold visually?

Observe how attached to the bone your skin has become along the vertical center fold's path.
If you run your nails along it, you'll feel that the skin is hard and deeply folded inward.
This external division of your body is also found internally in certain organs, such as your brain.

Vertical center fold on brain
Your brain is also divided vertically.

Initial vertical folds have a fetal origin

Initial vertical folds appear to originate from the early stages of fetal development.
This phenomenon could be a result of the cell division process.
Three-week-old embryos are clearly divided into two halves.

Vertical center fold on a fetus
Six-week-old human embryo. You can see the future vertical center fold.

Your skin is like a banana peel or a molded object

While the other folds on your body are caused by repetitive movements and positions, initial vertical folds fundamentally divide the body into distinct sections.
These folds remind me of the seams we see on a banana peel, on pods, nuts, seeds, ...
Their surface is not really round, it has ridges, seams.

Cut banana
Why isn't a banana round?
Why is it segmented?

Vertical center fold on nuts and beans
Beans and nuts have two symmetrical sides, like you.

We also observe analogous lines on molded objects made out of chocolate or plastic indicating that two or more parts have been assembled.

Vertical center fold on a chocolate rabbit
Your central vertical fold is similar to the joint between these two chocolate halves.

Your body has an internal squareness that is hidden by its general roundness.
Initial vertical folds are placed at precise angles of your body, ½, ¼, ...

Other important vertical folds

The vertical front/back fold

It separates your front, from your back.
Just like the central vertical fold, it divides your body into two halves, but this time along the side axis.
It is the longest fold of all.
Picture it as a line splitting your body into two parts as if you were viewed from the side.

The vertical front/back fold
The vertical front/back fold delimits the separation between the front and the back of you.

It runs up and down the sides of your arms and legs, going into the detail of the side of every finger or toe.

The vertical front/back fold on hand
You can see the vertical front/back fold separating the bottom from the top of this hand. The skin is even different on each side.

If you're six feet tall, your vertical side center fold is over sixteen feet long.


The vertical quarter folds

They split you into quarters by re-subdividing each side created by the vertical center fold.
Even if these folds aren't as deep as the center fold, they generate pain and aesthetic problems when large horizontal folds cross them.

The vertical quarter folds
The vertical quarter folds.

Their path passes straight in the middle of your eyes, breasts, knees and feet.


Diagonal folds

Diagonal folds cross the skin at an angle; rather than straight up and down or sideways.
On your body, you'll find far fewer diagonal folds than vertical or horizontal ones.
While vertical and horizontal folds are long and circular (they go completely around the body), diagonal folds are short and not circular.
They make the junction between deep fold crossing points in the vertical/horizontal grid of folds.

We can distinguish:
Off-axis articulation diagonal folds,
• Folds that follow angled bones or muscles,
Repetitive movement diagonal folds.


Off-axis articulation diagonal folds

Most articulations on your body are on-axis (they cross the body straight vertically or horizontally).
But, the articulations that move your shoulders and hips, along with the ones you use to close your hands or feet, are angled (off-axis).

Diagonal hip joint
Your hip joints are diagonal.

Since these off-axis articulations are used so frequently, deep folds are formed weeks before birth, and keep on developing all through your life.

Diagonal hip folds
Diagonal hip folds.

When you close your hand, you bring your fingers towards your thumb at an angle; this creates diagonal folds.

Diagonal hand folds
Diagonal hand folds.

Folds that follow the bones or muscles

Your skin molds and attaches itself to whatever lies beneath it.
When it covers angled bones or muscles, diagonal folds are formed that follow them.
Your skin does this to protect itself.
By firmly attaching itself to the bone, the muscle or whatever, it limits all skin movement in the area.

Diagonal folds in the neck area
The skin isn't loose and free; it has fastened itself to what is beneath it with hundreds of folds.

To successfully anchor itself to the bone, muscle, tendon, ..., beneath it, your skin needs protrusions or uneven surfaces.
It folds and refolds over every edge or ridge until it secures itself.
Your skin anchors itself to every detail of your neck, knees, hands, feet, ..., .

Diagonal folds around the knee
The folds encircle the kneecap.

When muscles are located beneath the skin tissue, it readily attaches to them.
Humans are convinced that they have muscle pain; but muscles cannot produce the kind of acute pain they feel.
In fact, the pain comes from the folded skin that has gripped the muscles.
Even muscle cramps or muscle spasms are caused by fold crossings; not the muscles.

Skin folded into muscle
This is a cutaneous fold, and it can be unfolded. The skin has folded over the unevenness of the muscle's edge.

People think that their pain comes from the muscles; when folds like this one are the culprits.

Diagonal folds from repetitive angled movements

Many people make repetitive gestures while they work.
Some movements can be done and redone thousands of times a day.
The skin folds created by these actions will grow, become permanent and, at some point, generate some pain.
But if the movements involved are off-axis, diagonal folds will form, and the pain can be much worse.

Off-axis hand movement
The movements involved in using scissors aren't in line with your hand. They produce diagonal folds.


Facial expression folds

The facial nerve, one of twelve cranial nerves, is in charge of facial expressions and taste.
Facial muscles are under its control, and convey your emotional state.
This is the most natural and effective method of communication for humans.

Facial expression folds on newborn
Facial expressions begin long before birth, and so do the folds that they create.

The skin is profoundly folded by facial expressions.
The intensity of the feelings they express is conveyed by the depth of each fold.
Since these expressions are used regularly, and sometimes held for long periods, the skin would be damaged if it didn't protect itself.
It coats the bottom of each fold with fresh coats of epidermis cells to harden the skin.
However, the expression folds now become engraved in the face of the individual.

Facial expression folds on the elderly
Engraved facial expressions don't lie. They reflect a person's true thoughts and feelings.

Your face is like a record of all your smiles and worries.
The expressions you hold most often have become carved into your skin especially around the mouth, eyes, and eyebrows.

Folded eyebrows
The shape of your eyebrows is like a log of your feelings and emotional states throughout your life.

Since the expressions you've used most in your life are engraved on your face, displaying new ones becomes more difficult.
The action of your facial muscles is hampered by all your permanent folds, and this limits your expressiveness.
Your face is meant to be a blank page on which your emotions are transcribed without interference from your past.


For more information on facial expressions




Body orifice folds

Your skin is a tissue, but it's full of holes.
We can observe holes:
• for the eyes,
• for the ears,
• for the nose,
• for the mouth,
• for the breasts,
• for the navel,
• for the anus,
• for the vagina,
• for the urethra,
• for each fingernail,
• for each toenail.

These openings have complex and unique skin formations, and many of them are designed for movement.
You have developed specific folds in each of these areas: mouth folds, eye folds, ear folds, and so on.

Body orifice folds around the eyes
The folds around the eyes, called crow's feet, are body orifice folds.

However, many of the folds you see here are not orifice folds.
The deepest ones are normal horizontal and vertical folds.
Amazingly, these fundamental folds simply continue their path on the other side of the orifice.

Vertical body orifice folds around the lips
Vertical folds around the mouth.

Horizontal body orifice folds around the lips
Horizontal folds around the mouth.

For many of these orifices, the skin transforms itself when it reaches the opening.
For the mouth, for example, the skin tissue changes into lip tissue, then into mucous membrane.
Curiously, the folds don't stop; they keep on inside the cavity if they can.


Weight folds

Weight folds are found in places where the skin bears the weight of the body.
Humans have three main postures, resulting in a set of particular folds for each one:
Standing folds; beneath the feet,
Lying folds; on the back, side, or front,
Sitting folds; on the buttocks.

The skin gets crushed in areas of the body that are in contact with the surface supporting it.
This creates a small pocket of refolded skin just above this junction.

Standing posture fold
Standing fold.

Of course, how often and for how long the posture is adopted, along with the weight of the person, will have a determining effect on the size of the folds.
Weight folds can also form in any place that you rest or lean on; when you support all the weight of a member against a surface.


Wear folds

Wear folds form where objects or materials exert pressure on the skin.
These folds are often hard to see, because the skin beneath these accessories becomes flattened and compressed.

Wear folds on the nose
Wear folds on the nose after wearing glasses. You may not see the folds, but you can feel them easily with your nails.

Wear folds are usually caused by wearing:
• Headwear,
• Glasses,
• Clothes,
• Jewelry and watches,
• Footwear.

Wear folds on the wrist
Wear folds on the wrist.

People don't realize the damage they do to their skin by wearing these things.
If you can't stay away from them, at least minimize the harm they can do by:
• Wearing them less often or for shorter periods,
• Choosing the lighter models,
• Staying away from elastic bands and tight fastenings,
• Wearing only molded footwear with socks inside.