Tutorial #3842

Superficial Fascia

70 min - Tutorial


In this video, Gil delves into the world of fascia, taking a close look so you can develop an understanding of it.

This video was filmed and produced by Gil Hedley. It includes videos and photos of dissections of cadavers (embalmed human donors). You can visit his website for more information about his workshops.
What You'll Need: No props needed

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May 01, 2019
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[inaudible] well, the time has come in. The programming that follows when we delve into the world of fashion now having picked under the skin, we've already gotten a glimpse of the superficial Fascia layer, but in the following segments, we'll take a much closer look at it and develop our understanding of a considerably superficial Fascia is for many people a surprising layer. So when you feel what you're feeling now, do you recognize it as something therapists? Yes. Yes. Do you also recognize it as superficial fashion? It's something you felt as a therapist, but it's nothing that you ever identify.

Never. Ident I never would have identified this as superficial Fascia. I never would have. And you're talking to somebody who's been involved in working on people since 75 some 75 yeah. So since 1975 given feeling this tissue, you've been working the same shoe, I bet you've never had a sense that this was a, you could identify this as something that would be in supervision, these textures in your hands. Right. And I've been robbed twice. Okay. Not never would have thought this. Do you think that sometimes when you think you're working on deep fashion, you may just be working on superficial Fascia. Now I know this isn't a bad no, it's great. It's instructing.

Many people will name learn about fashion and a certain idea in their mind, they tend to think mentally of the deep fashion circle, white strap, strappy sheets surrounding the musculature. And when they see superficial fashion for the first time, they say, that's not Fascia. That's, that's fat a well in some places, uh, and in some bucks, the layer that I'm referring to, a superficial fashion is commonly understood also as the adipose layer. Uh, however it is in fact a Fascia, a loose aerial or fashion, uh, Fascia is a sub category. Um, that body tissue, whatever we call connective tissue. So there are, let's say two major types of fashion. Fashion means, um, kinda like a, it's kind of a shitty app, erotic in location to the word and also ancient Romans. Understood Fascia to mean like a wispy thing like a cloud. Well, it's definitely the loose aerial or connective tissues that fall more into this category of the wispy cloud.

Like land relative to the more strappy, strong, flat, fibrous nature of the deep Fascia or even say the wrappings of the origins of the bags around organs, which would have that thin fibers quality as well. So the superficial fashion. Then the adipose layer is a loose area or Fascia, a loose aerial or connected tissue, aerial or means area. It's like a bubble wrap. Uh, only the difference is that instead of the bubble wrap being filled with air, like it is when we receive a package and it's filled with bubble wrap, the superficial fascia bubbles are filled with adipose. So the structuring matrix of the superficial Fascia is this, a loose aerial or connective tissue and the breadth of it, the depth of it is given by the relative amount of adipose as deposited in it.

So superficial Fascia can be quite thin. Actually. Our community very thick. Just look around and go to the supermarket. You'll see some thick, superficial fashion, uh, on people's forms and the glorious variety in which human beings are walking around on the planet. We can observe that even on the same body. Uh, superficial Fascia can be very thin in one area, very thick in another, depending on a person's disposition and propensity to store energy in different areas of [inaudible]. Returning then to the laboratory, we refresh our memory of the mail form here with the skin intact. And in the same way that we have universal coverage of the body with skin just deep to the skin, it's readily apparent that we also have a uniform and universal coverage of the form of superficial fashion. The deposition of fat can't necessarily be predicted in its depth by looking at its surface, but there are a few areas of the body of the scrotum, the eyelid, and the Lavia major where we can always be assured that there is no fatty deposition. Somebody doesn't deposit there in anybody, but beyond this fact of the universal coverage of the body with superficial Fascia, we can also notice the superficial fashion. It has a generally yellow color.

I say yellow layer. It's a yellow layer, whether the form is male or female, it's a yellow layer. Whether the form is alive or dead or a cadaver. The layer is yellow. Uh, regardless of whether the cadaver form is from one race or another, we're all universally yellow underneath. Now the shades of yellow change, it can be greenish yellow or canary yellow or pale yellow. There can be reddish tones depending upon blood supply, brownish tones, et cetera. But in general, the superficial Fascia is a yellow layer in the cheek. Let me see, a very dense matrix of the superficial fascia as compared to this chest.

The chest area here, the breasts themselves are, are specialized shapes within the layer of the superficial Fascia. And without superficial Fascia, the female form is quite masculine eyes as we'll see further on. For now, we observed the form generally, and when we look at this female form, we can say that her shape is her morphology. Her shape is primarily defined by two layers by the superficial fashional layer, uh, because later on we'll find her body who's quite distinctly shaped, um, relative to this layer and that this layer gives her her form. In comparison, it's the muscle layer that primarily defines this gentleman's form.

And his superficial Fascia follows quite directly the contours of the underlying deep fascia. And Muscle man. Again, by comparison, this female form, it's really two layers. It's, she's an endomorph. Her body is shaped primarily by her gut, and the gut is not rounded due to a tremendous step position of superficial Fascia, but just from the shape of the underlying organs. Whereas the gentleman's form here, it doesn't, doesn't primarily present the gut as a shaping element. However, they both, both this female form and the male form have about the same amount of superficial fascia lying on their belly wall. Here, we'll take a closer up look at the superficial Fascia starting here with the thigh region of the female figure.

We see the spider vasculature as it networks its way across the outer surfaces of the superficial Fascia in order to meet up with the skin. We also can note the loose bubbly matrix, uh, that constitutes the structuring of the superficial Fascia. Uh, here on the statter gentleman's and we see a much larger vasculature running along the surface. Like myself. Uh, many people have large veins, uh, running at the periphery of their body right along underneath the skin. Here we see the branchings of the gentleman's uh, great saphenous vein in the lower margins of image here crossing over at the knee. As we take a closer up look at the superficial Fascia of the face area, we can see even some beard stubble at this level, but more relevant. The Matrix of the superficial fash here is extremely dense.

The facial musculature, the [inaudible], the superficial muscles of expression actually act upon the superficial Fascia itself rather than upon some skeletal form here at the heel. The superficial fascist, quite specialized. The fibrous matrix is extremely fibrous here and creating the cushion of the heel pad, the fat deposited into the fibrous matrix, giving us a bit of a shock absorber at the head. We see the river in pathways of the vasculature coursing through the layer of the superficial Fascia, which uh, similar to the area of the face is, is quite a dance in the structuring of its matrix. And we look up very close.

We can still see the impressions of the back of the skin on the tissue. Uh, the superficial Fascia here is quite thin and we see on the left the the deep fascia somewhat exposed. You mentioned earlier that at the eyelid, the Lavia major and the scrotum will have no deposition of fatty tissue. Instead at the scrotum we have the dark toss layer supplanting the deposition of adipose. In the superficial fashion, we can see the margins at the penis to the right and left where the superficial fashion and fatty deposition Peters out. As we come closely here to the thigh, we can see the dimpled form of the superficial fascia where it's, where the matrix creates a more loose arrangement of adipose deposition. This is the kind of dimpling that is the bane of dieters.

Sal, you lead in this area would be this, the of the patterning of the matrix of the superficial fashion made upon the skin and then stretched or distended by the deposition of adipose in that Matrix. As we followed down not arm, we note bruising in the superficial Fascia both at the elbow and at the wrist. At the hand. Anyone who's ever had an IV inserted in any of these places knows how easy it is to become bruised here. When I blame a vein blows out, as they say, and bleeds into the underlying superficial Fascia we see then the anatomy of a bruise in this form. This is an extremely common artifact in cadavers. Uh, given that most people die in hospitals in our country with some form of medical intervention or another. Here in the man's breast area, we see the dense and fibrous lay of the superficial Fascia.

And when we compare that to the female figure, we can see the much more loose arrangement of the superficial Fascia in the breast tissue. As we come in closely again to the male figure, we can see the scar tissue on the left, evidence of the incision, and then also the fine basketball chair at center frame. Coming here close onto the belly wall, we'll remember the, the discoloration of the belly tissue. And here we can see that unlike in the arm where the tissue is discovered from a fur as an artifact of a medical intervention, here, the discoloration is merely the result of the passage of time on the cadaver form and the impression of the coloration of the CQM from below. We also see in the white lines the different shapes of the fibers structure of the superficial Fascia here at the belly wall is compared to other areas of the body that we've seen so far.

Take a wider view on the gentleman's midsection. I can see how thin the superficial Fascia is over the forearm region as compared to the belly wall and upper thigh. And then, uh, the gentleman by comparison to the figure, we can see the Mons pubis of the female and then the male figure where the fat is deposited over the pubic bone. Here from the back we can see quite different types of distributions of structuring to the superficial Fascia of the back, oh in the shoulder area, the mid back and the gluteal region. As we focus in a first than on the gluteal region. And we note that characteristic shape of the human botox is defined by the superficial Fascia within which in this area there's sort of a specialized fibrous strap called the gluteal fold apart of the superficial Fascia layer.

Uh, when it's removed, the configuration of the rare end is quite different when we see it in it's muscular form as opposed to the form of the superficial fashion coming close into the gluteal region. From the vantage of the side, we can see here the more swirling and loose arrangement of the fibrous matrix of the superficial Fascia, uh, as compared to say to the face or heel. And then here by comparison directly the heal tissue again, and it's dense and extremely fibrous quality as well as that of the whole foot. Uh, the entire plant, our surface of the foot is quite fibrous with small bubbles containing the adipose tissue as opposed to the large, more swirling and loosely organized tissue of the gluteal region, which we see here again, as we draw back on the image. Now if we take a look along the leg, we'll see here at the foot the very, very thin layer. We can see the dorsal penal vein and and through the superficial Fascia we can see the tendons deep to the deep fashion.

And as we come slowly we see about a millimeter or two of superficial fascia laying along the calf. Some of it has been removed with the skin and we see the deep Fascia, the white fibrous matrix underneath the superficial Fascia here, it's very difficult to dissect off the entire superficial fashion of a form and the way that we demonstrated possible with the skin. Because in some areas of the body, it is so thin that it's impossible to demonstrate its whole body integrity on every form as an independent structure. Nonetheless, we can show its arrangement in all areas of the body. Here at the shoulder region is that an extremely dense and fibrous matrix of connective tissue is having a browner and radish coloration. And in this particular gentleman, I'd go so far as to say that he'd Demonstrate Sa the mild beginnings of a dowager's Hump, and we'll inspect that, um, much more closely when we dissect a superficial fashion, see it in cross section again, the back from a different vantage point, and we can see the, the gentleman's must go a cheer showing through underneath the superficial Fascia. His form is very much defined by his, his, his musculature as we see the rounding of his shoulders in Alaska with his arms spread out and at the shoulder area there we see the very, the very fibrous scent and dense kind of superficial fascia in the upper portion of the back.

But here at the mid section of the back, we have a very light fatty deposition and the loose aerial or connective tissue barely demonstrates that bubbly structure at all. It's quite matted down, unlike here in the bud hawks region and over the sacrum where we see again this a looser and more generous deposition of the fatty tissue. Finally again, the gluteal folds and we'll look at this region as defined by the musculature later on and it'll be shocking how different the shape is as compared to that which is defined by the superficial Fascia. Here we're working our way up the back across those three very different areas and types of superficial fashion matrix. Finally, we're restored to our full view of the form. The gentleman poses quite an elegant structure to study and uh, I was incredibly appreciative and remain so, um, this a fabulous gift.

Now if you go to the old textbooks, this, uh, this fashion is also actually called Camper's Fascia. Why? It's called camera's fash. I can't tell you, there's probably some gentleman named Camper who got his dissertation based on this Fascia, but I like to speak in general because it's a whole body layer of the superficial fashion in general. Other people call this the adipose layer and it is that because within the superficial fashion lies the adipose and deep to it lies layer that's sort of shiny and strong. We have a strong, a layer with tremendous integrity. The skin. We can see a little bit of skin here. We left it to mark the naval so that the viewer would have a landmark. Even. No, we're going to drop a neath yet. So what I'm going to do, I think I take my scalpel and I'm going to make an incision, but I have to do it very gently because I, again, I don't know how, I don't know how deep it is.

I don't want it to cut beneath it. So I'm going to pass my scalpel here into the superficial Fascia and I can feel with the scalpel, it's nothing of the depth. And then go around the navel here. Again, we'll leave that as a landmark of the depth of the Fasher. When we're done, we're going to keep on going. I'm just gonna run right on down this midline here, clear on down to the pubic bone and even over the pubic synthesis, uh, to the base of the penis. Okay. Now, if I get my fingers in here, I can actually pry back the superficial Fascia and it's not going. So I didn't go deep enough. Again, I'm trying to do a nice dissection so I don't go too deep the first time. So now I'm going to go a little deeper.

What I'm trying to do is get to the layer of the superficial fat of the deep fascia through the superficial Fascia without cutting the deep fascia cause I want to show it to you. Nah, I'm getting down there a little better and I get my finger now there, I can start to push it off. Okay. Now as we create a tension here, we can see that's a superficial Fascia is rooted onto the deep fashion with these fibrous strands collagenous fiber strands. Now we know that the superficial Fascia is a loose area or connected tissue, whereas the deep Fascia isn't loose, looser aerial or at all. It's a, it's like Saran wrap, hurrying ups, strapping tape or something like that. But if I keep stroking this with my hemostats here, well, it's not even given to that. I'm going to have to bring my scalpel in.

I need a stronger tool. Well, before I do that though, let's talk a little bit about the depth of the superficial Fascia. Okay. So here we have the surface, and then we go into its depth. Now I'll give this, I don't know, half an inch. So we're going to use the scalpel tip here, and I'm going to cut through some of this relationship of the deep Fascia to the superficial fashion. Now what, what is in these strands? What am I? Goodness, all kinds of stuff. The blood vessels and the nerves are, are here. Uh, there's still a very small, when we're looking at them at this level, there are perforating vessels, vessels that go like through the layers. If we're working with onion layers, they're going to be layers that go through the onion layers. So I call those perforating vessels.

Here's one little vessel and it's a little blood vessel. This feeding the superficial fashion. And I passed my scalpel blade through it and I dragged this blade and began to identify the tissue underneath and take tuck this out of the way here. And sure enough, we have a little better, better view. Now, without all those little connections there, we can start to see a shiny layer underneath at the deep fascia. So we're gonna we know where to look. Now, see now that we're at the tissue depth, we can accelerate the process a little bit and I can flip my blade through here.

You see these, you can even hear them. They're quite fibrous and tough and that's what I'm teasing through with my scalpel blade so that we can ultimately demonstrate deep fashion. Man. Now we're looking at superficial fashion. Man. When I look at deep fashion man and a ultimately deep fashion woman, it was fuzz. It just melts. When you touch it, it's a very ephemeral tissue and you can just actually use my pinky. This is blunt dissection. Instead of a scalpel, I can use my fingers because this tissue will yield to my hands.

Okay? And we begin to understand that the superficial Fascia, even though when we're dissecting it at first, uh, seems to be coming apart almost. It has a tremendous integrity. So I can pull it as hard as I can. It doesn't break. Okay. This is superficial fashion in depth. This is it. In Cross section. You can have a large person, they have a large skin. Well, the superficial Fascia is even larger. Usually even in this skinny def, it's going to be heavier than the skin. It's tough, but it's fluffy at the same time. It has elasticity to it because it bends and moves with us and then when we lift it up and do the deep fascia underneath, we see the relationships between the two.

Now the relationship between the skin and the superficial Fascia is very intimate. We got that a cantaloupe pattern on the skin that we took note of, but here it's a looser relationship. There are still these tough threads connecting it. Oh, this is a beautiful shot there still these loose threads connecting it, these ones, and then there's this fuzz and I can get in between them, so we're kind of all gone in between a perfect, here's the perforating vessel here, and then we're going to get into a little innervation of the superficial Fascia. It's a live, vibrant Oregon. It's great. Now if I pull up on it, I'm pulling up on the deep fascia there too. Excellent. You see how it lifts up the bag underneath? I'm actually lifting up the bag of the deep fascia over the musculature because this is the anterior rectus sheath here. That's what we're looking at.

This is a little blood vessel and then a go this way. I'm not trying to repair my little hole here that I made by accident. I'm going to slice on over, be a little extra ginger there. Stuff disrupted the integrity of the underlying layer a little bit and it's my goal to preserve the superficial fashion, the d fashion as much as possible, but also in some sense to demonstrate the integrity of the superficial Fascia, which is actually coming up in one piece. I wonder if it will be possible on some form to actually demonstrate the entire, uh, superficial Fascia. Uh, the way the skin was demonstrated in the first video.

Wouldn't that be something if you could, if you could take off the entire superficial fashion one piece. Oh, now I'm creating goals for myself because there no one would argue about it. My goodness. They'd say there really is an entire full body layer that has structural integrity is innervated. It's full of blood vessels. It has an important function. It's not something we should be trying to get rid of.

It's something that's our God given and down when it's a layer of our body that represents a part of our wholeness that needs to be a understood, embraced, falling in love with excepted. And uh, and that way we can move onto a new relationship with it. Cause the relationship that, uh, we've been demonstrating in our country lately has been a little bit aggressive towards this tissue. Uh, people take it out with surgery. Oh, that is cool. Oh, that's nice. There we go. Now you might notice this redness here and this little bit of Brownness here. So we have a little bit of brownness and a little bit of redness. The colors are changing. Remember we're dealing with the cadaver.

The cadaver tissues lie all the time. They're constantly, uh, constantly, uh, absorbing colors from tissues underneath that are no longer alive and functioning. See how now when I lift up here, it's like there's a sheet almost see the sheet. This is the relationship. If I lay it down, it's flat. When I pick it up, it's a sheet, but the only way to get this tissue off here is to go through that sheet and these fibers here and when I scratch it back that she kinda melts away and disappears and I'm left with this tough external layer, which now this point, often students look at it and they say, my gosh, that's muscle. Oh No. I went through the muscle there and they get all upset and they think, oh no, I've gone to the muscle there when in fact this isn't a muscle layer at all. This is the deep Fascia, but it's also us has what students are perceiving as striking is because the deep fashion itself was sort of stripe it. It's like strapping tape, but it has a different fiber orientations. The deeper you go into itself, people will think, oh, I want to, I just got a little hole land there. You see the fibers here is that film on top of it and we'll call this film back and I want to get, I want to keep on my layer here so I'm going to back off there.

I don't want to make a big hole by accident. So here I go there. See there's a little hole in the deep fashion and that's muscle tissue underneath. Now as soon as you touch a scalpel blade to muscle tissue, it loses all integrity. It just falls apart. So I'm awful careful when I come around muscle tissue with a scalpel. It's the wrong tool and the hand is the only too old worthy of handling the muscles because muscles integrity is dependent upon the Fascia that wraps them.

And once you've disrupted the integrity, the faster that wraps them or that protein just wants to kind of fall apart. Well, that is just too pretty. What I'd like to do is back like this superficial fashion, the light passes through the skin. Well, it looks like light passes through the superficial Fascia too. You see, we, our bodies respond to light and certain frequencies of light are able to pass through our bodies. Of course, our skin filter, some frequencies are lighter on supervision. Vultures, uh, uh, filters some frequencies of light, but light, light penetrates our bodies. Sound waves penetrate our bodies, uh, electromagnetic frequencies of all sorts penetrate our bodies. Uh, this is a stark demonstration of the fact and it's possible for electromagnetic frequencies to pass through our body. So if you believe that you are not susceptible to the waves from your cell phone or you are not susceptible to the waves from a, from your, your surrounding electromagnetic environment, this is a stark demonstration that in fact, uh, frequencies from the electromagnetic spectrum enter our body.

And I would go further and say that they influence our health in a, in a deep and important way. And that actually the light has a cleansing function relative to the blood. And that one, we are not exposed to healthy forms of light. We, uh, are also therefore, uh, not having our blood cleanse appropriately and it disrupts the blood chemistry ultimately and results in, uh, sickness. Hm. So deep Fascia, superficial fashion, I put my hand in front of it. See, I put my hand in front of the superficial fashion and the light and you can see the light easily penetrates. That is a lot of light, but golly, so's the sun. All right. So how much I appreciate the, uh, the gift of the form and I intend for my form also to be a gift ultimately.

And those who watch this video are no elderly person. You might also, uh, or someone who's about to pass, uh, or uh, pass on, let their body pass on that. Those people may, uh, donate their forms and encourage others to learn more about it. So folks have been trying to donate their bodies to me for years and uh, I am constantly turning them on to their local donor program, which is the best way to do that. I am not set up to, uh, accept, uh, bodies for donation in case you become inspired to donate your body based on what you learn on these DVDs. Uh, I wish I could help you personally and use your form, but in fact instead I'll encourage you to call your local the program at your local university and uh, and make your donation there. You're getting bigger and bigger. We're working our way around a bend here. See, here's the anterior superior Iliac spine, the superficial Fascia on it. The skin gone and then we back it off and we see underneath it. It's still the bony prominence and we're closer to it than we were before the coupon combing back this tissue.

All the Fuzz is getting prettier down here. Huh? Can you catch that? Let me get the light on that right down along this edge here and demonstrate that intimate relationship of the superficial Fascia to the deep fashion. We're interested in as much about the layers as we are and their relationships as the layers. Cause it's often in our relationships that we get gummed up. This is true in our body and it's also true in our lives. The relationships are often the stumbling points and it's the place where we need sometimes the most work.

So sometimes we're stuck in our relationships and our bodies sometimes are stuck in our relationships in our lives. And if we take a close look at them, we can look at the way that we're intimately tied one layer to another one person to another and give it the time it deserves to work out the kinks. Um, that way we'll leave this planet better than when we got here. Now of course, when you see it at this level, it's quite an illusion, right? Because we just spent 10 minutes going through fuss to be able to demonstrate there. The intimate relationship here, it would appear that it wasn't attached at all, but that's an illusion created by a scalpel. I can rock the body with the superficial fascist said, don't let anyone tell you that your fatty tissue doesn't have integrity.

And in fact, the bigger you get, the more integrity it has and sound because the matrix of it increases as well. And so there's a tremendous amount of structure going on in a person's fatty tissue. It's a, it's a liquid layer, uh, at, at um, at 98.6 degrees. This is a liquid layer, yet the, the connective tissue structure of it. If we look at the back of the superficial Fascia here, we can see the strands of tougher fibers running through the deposition of the adipose. So all along we have, here's a bubble of adipose embraced by strands of, of a collagenous fibers that are tougher. And it's these tough fibers that give the tissue its integrity so that if this gentleman were to lose every bit of his adipose in a superficial fascia layer, he would still have superficial Fascia. It would be matted down, it would, uh, increase in its density. And in fact, if this gentleman were larger and lost, uh, some weight, it would just create a mat of that fibrous tissue, uh, lacking the, the, the, uh, the adipose. So here we have the superficial Fascia in the belly area, all Sonos campers fashion. And if we pull that back, we don't come exactly to the deep fascia yet because there's one more intervening plain or layer of fascia known as Scarpa's Fascia in this particular area of the body. In every area of the body, there are little differences.

And we see the beautiful blood vessels, um, backlit and the phys down at the base, we could probably take a little farther. Scarpa's Fascia doesn't go all the way, eventually also Peters out. Uh, but it does go down towards the scrotum or the, uh, or the Lavia major in, uh, in a female. Um, an example. Beautiful. So next time you're doing a nice section, you can hunt for that additional fashion. Now, if we're giving a massage, right, and you're working the belly wall here, and we've removed the skin, now we're on the superficial Fascia. Of course they're Oregon's underneath.

Then at room temperature, uh, we have a firmer tissue, but at body temperature we have more of a liquid layer and it's of course possible to, uh, touch everything in the body ultimately, uh, but always through the layer. So it's so important to understand and respect the layers to get permission to go through them, uh, and to know what layers are going through deep underneath. And ultimately we have the muscle layer and then the bags or the viscera and the viscera themselves here. Excellent. Just for now, we'll notice the superficial Fascia here, which is very thin and a and a coming at the, at your Shin. It comes to bone and you don't really have more than, you know, a millimeter of, of, uh, superficial fashion, fatty tissue overlaying it.

And yet still it's a tissue with definite integrity. It's the passageway of the great saphenous vein, the superficial cutaneous nerves. It's a structure, uh, with integrity and life. And it's in continuity with all the other superficial Fascia of the body and all the other layers of the body through these, uh, perforating vessels. Okay, so I'm going to come up around the Shin here and we'll create an even bigger sheath. Now just watch my fingertips. Let's see. You see how it wiggles? Um, w this is what happens if you get your fingers tacky on somebody's skin and you got a wiggling sensation. You're wiggling the superficial Fascia on the deep fashion.

Can you see that wiggle action? See, I'm wiggling this, this one layer on top of another way. This is how you can start to read layers because the layer that wiggles, that's not the deep fashion. The layer that we're wiggles is the superficial fascia sliding and we're going on top of the deep Fascia and that doesn't mean it's going to break free and we don't want it to break free. It belongs there. So now I can peek underneath it. Yeah, a little bit of a grip on here with my to stat and try not to go through too much. It's very tricky. Again, you never really know exactly what the depth of the tissue is until you've gone through it too far. And then you know, so if I start to lift up, here we go.

Okay. On the little shy, I'm laying, I'm now, I'm being timid. I've left the blood vessel down along the deep Fascia. Now shout out to you in a second when I get this off. So this is actually coming up nicely. Oh, it's going to come off on a big sheet for us.

Just too lucky here. Okay. Sorry. See this thin layer of superficial Fascia overlying the deep Fascia, the Curl Fascia right here. Uh, that's quite a different texture too. It's as smooth as the, as the belly of a fish or something like that.

Oh, that must be, it's wet and it's fibrous and yet it's smooth. This is when you put your finger along the superficial fascist, grainy and a little lumpy a due to the loose aerial or quality of the superficial Fascia and the deposition of the fatty tissue. When you go behind it, we see that the back of the superficial Fascia here has quite a different texture. It's smooth. Again, it creates something of a sliding surface relative to the deep fashion. Um, and I'd like to talk about the, the, the muscle sliding ones against the other likes look stockings, uh, also the fascist sliding ones against the other like silk stocking. So, um, still I pass my scalpel here to disrupt the relationship with the two. And yet it's still a very loose relationship and it took a lot less scalpel work to reveal the superficial Fascia here than it did to remove the skin here, which dull the scalpel blade. Right. So my got way doesn't even get dull when I'm working with the differentiation of the superficial Fascia from the deep, uh, the way it did.

So the relationship between the deep Fascia and the superficial Fascia is a lighter a relationship. It's not quite as quite as intense. Our relationship is that between them, this skin superficial Fascia, this is the great staff in this vein coming down to form the dorsal penal vein here and here, and it just doesn't have any blood in it. So I didn't see the coloration. So this is a vein. Unlike this other tissue here, it's crossing over here. When we have the nerve underlying the vein, here's the nerve, right? And it starts to get real particular. See Now we're in the crossroads of the trees.

So if I flipped my way through here, I see the vein and the vein is overlying the nerve at this point. Unless that's a vein too [inaudible] no, that's their nerve nerve nerve vein. You start to get into some pretty structures. Now recalling our demonstration of superficial fashion man just below skin man with the reflection of the skin by the group here we repeat the demonstration. But this time reflecting back the superficial Fascia to reveal deep fashion man lying underneath, no quite thin at the leg, we're still able to demonstrate its sheet like quality when reflected and in the upper body a more substantial cloak at this point.

Lending to the cadaver form a stunning cape. Here we take a closer look in at the complexity of structure in the Axilla, the left armpit area here, it's a lymph nodes in the right corner of the screen and the beautiful branchings have the vascular network. And then once again folding back the Cape here, looking at the, what's this miss DOR psi on the right side with a superficial fascia still related into the back area. And the complexity of the Axilla here reduced. We drew the Fascia further and further all clear around the back and all around to the other. So we were able to basically dissect off the entire, uh, superficial Fascia of the torso in one large piece.

The colors seem similar, but the superficial Fascia is mostly gone. As you can see, my hand is running down the deep fashion here at the area of the anus and we haven't finished the dissection and we still have superficial fashion surrounding the sacrum and the medial part of the gluteal muscles here. And then as we come down the legs, we can see it's been very nicely claimed actually. And the deep Fascia is shining. So that shining look, it takes a lot of work. That superficial Fascia, like the skin is attached to the layer beneath that it doesn't just pop off. So when it comes off at first it's more of a rough look with some of the uh, attachment points and fatty tissues still attached to the fat, to the Fascia beneath it. And then with some careful scalpel work, it's possible to create this very clean look, but realize that this is an artifact of hours of um, meticulous dissection as opposed to a representation of the ease with which the tissues come apart.

It does come apart with some ease as you saw on the camera already. But now you know we have a cleaner image down here at the leg. We can ultimately find the same kind of shiny Fascia like we have in the back. We can find it starting to peek through here, but it'll take quite a bit of cleaning to represent the entire Lumbo Dorsal Fascia here in this area. For now, it's still covered with a thin film of the adipose layer that's still remaining and you can see it's a moist layer over on top of the deep fashion in this region.

We have the superficial Fascia that's been sectioned, actually it's quite thick here and this is the spot where we have what is commonly known as a dowager's hump. And there's a mild representation of the dowager's hump in this gentleman's structure. And that tissue itself is a very dense fibrous tissue where the and the fat that intervenes amongst the fibers is more of a dark brownish, a radish color as opposed to a, a light yellow or a scenario of color. And that, uh, represents us a stored packet of energy, which has its own psychodynamic qualities that can be discussed and explored. This isn't complete then this dissection, there's still more to go to completely revealed deep fashion man beneath the superficial fashion man.

But I thought it would be important to share this middling step between the layers as a way to help the viewer understand how very stylized many anatomical pictures are and what a level of allusion they represent in so far as you can't really grasp what it took to both create the picture and exactly what are the qualities of the tissues one relative to another. The dissection progression invites us to observe the tissue in place, to palpate it with our hands, to differentiate the tissue, to reflect it and remove it. Already we've seen the initiation of the reflection of the superficial Fascia of the abdominal wall, the lifting of the tissue as the scalpel passes through the relationships with the superficial fashion to the d fashion. But now we're able to look at the completed project where the entire superficial fashion torso has been dissected away from the body. It's now a new creation in itself and we're able to inspect it on its own as an organ with its own integrity. Uh, its own structural strength, uh, and its own purpose and meaning at this point here we see where the naval was.

This is that center line cut we made when we initially began to reflect the superficial Fascia from the area of the penis here, which this was the tissue which overlay the scrotum. And then the cut came all the way up to the chest area. Here was the, uh, intrusion from a medical procedure on the left side, which caused some scarring in a superficial fashion. And here is the area, some of it that was over the gluteals. So in the pectoral area, pectoral area, um, dominal area down by the groin. And here on the back showing through, I can lift it up and just when we just, the way we move, if only I could move in, so dynamic away, uh, as we have this moving now I'd be a wonderful stretch, but a, our fashion moves with us. So I'm constantly wanting to rehabilitate the reputation of this tissue, the reputation of this layer, the adipose layer, the superficial Fascia.

Because just like the skin, it's an incredibly dynamic moving tissue that's protective, that's sensitive and which if we were to have an integrated experience of our bodies, it would be important for us to develop a positive relationship. There are some imperfections in the dissection. Of course, the idea never or very rarely is executed in the physical until a level that we can conceive it. Here we have the area that was filling the armpit filled with lymph nodes and blood vessels. We have an area at the base of the neck where we can note a dowager's hump had been farming in the gentleman structure a little bit from the arm. These thicker regions by the lower back and buttocks.

This area here overlaying the spine and the superficial fashion certainly grows thinner. Uh, where overlays the spine. There's quite a variety of color. We can attribute that both to the fact that the tissue has been embalmed and preserved and that the form is dead. Uh, as well as to the fact that superficial Fascia itself has many different colors. Sometimes dark yellow, sometimes lighter yellow, sometimes it tan color, sometimes brown, sometimes reddish where there's been wounding or different levels of oxygenation perhaps of the tissue. So we go in any range from yellow to canary, yellow to orange ish colors and some of the fat and reddish as well.

The tissue is very strong. If I use as much strength as I have, I can't really pull it apart here. It's thickness here. I would gauge it about a half an inch here. It's quite thin. Uh, more like two or three millimeters on and given form. This tissue can be six inches, even a foot thick on a very large person. This gentleman was extremely lean and yet we can still demonstrate, uh, the integrity of his superficial fashion.

Surely a beautiful and awesome structure, a sense organ, oh, warming device, a place of sensuality and comfort as well as a place of reserve energy, stored life force, emotional movement, uh, other probably as yet undiscovered functions and purposes. Having explored the male figure in his superficial Fascia in depth and taken an up close look at it. We turn our attention to this female cadaver form who's even distribution of superficial fascia enabled our dedicated group to have the rare experience of reflecting and removing the entire superficial Fascia of her form intact in one piece as a rare experience even for a group of integral anatomists and that represents only one of the many gifts which were offered to us by this particular form. Our culture places a premium on fat-free and no fat and there is a certain level of problematized nation of the adipose layer, the superficial Fascia in our culture and yet as we view and appreciate this superficial Fascia here, we can come to a deeper understanding of the many positive attributes of this layer that cannot be dismissed and which we judge all at our own risk really, and our risk of health and our risk of human experience. The superficial Fascia like all connective tissues is pizo electric.

It has the capacity to generate electrical fields when stretched and pulled in gravity. It's my belief that this is part of what makes this a sensing layer so that the interaction of the fields generated by the superficial fascia with the surrounding fields in the environment enable the sensitive person sensitive in virtue of their superficial Fascia to listen to their surrounding environments at a very deep level. Perhaps this might be a physiological and anatomical root of what we reference as female intuition and our general cultural movement to judge and dismiss and diminish. The adipose layer may in fact represent not only a judgment of the feminine, but of a feminine power, which is inherent in this layer for both men and women. The same time we can recognize and this figure here how without the superficial Fascia, ultimately the form is masculinized and the demand, the unreasonable demand for the reduction in an inordinate manner of this layer is in a sense asking women to reduce something that is inherent to their structure and something that is integral to all human form.

Our culture also defines where on the body superficial Fascia may ideally manifest. And yet those ideals make no reference to the natural genetic dispositions. And the psychodynamic tendencies of any given individual. Each person is quite unique in their patterns of distribution, of superficial fashion, and it is unreasonable to place upon ourselves to the demand that it should be distributed just here at the hips or just here at the breasts and not elsewhere as well. Instead, let's make an invitation to both recognize this layer and acknowledge it and accept it as inherent to our human form as inherent to it as any other layer and requiring our acceptance and integration of it so that we might step into the power of this layer.

The power of this layer a is both something at a physiological level and a sensitivity level, uh, as we've discussed, um, as well as the, the shifting power in a culture when a culture accepts its feminine layer. Also, this layer represents to us all a form of resource. While it's true that in our culture we have epidemic obesity, this is hardly the fault of the layer itself. What it represents instead is a distorted relationship with the layer which we can correct by engaging it, accepting it, and developing our understanding of it. It's my hope that this exploration of superficial Fascia will provide grist for the mill and provoke curiosity and investigation on the part of scientists and Soma naughts alike who can explore and tell us more about the properties of this layer.

Within recent times, it's been demonstrated that the entire layer is replete with actively contractile muscle fibers previously overlooked, and that these muscle fibers are part of our wound healing response. This I learned from Robert Schleifer, who is exploring with researchers in England, this contract dull property of fashion itself. Of course, within the female superficial Fascia and the breast also resides, and there we have a place of nourishment and specialization of the fibers there. Even on this form, there was never a place on the whole body where the superficial Fascia is more than an inch and a half thick at its greatest depth. Here at the belly wall, we can see that the superficial Fascia of the female figure was no thicker than that of the gentleman, about a half an inch thick, which is really a minimal distribution of Fascia [inaudible].

Okay. Yeah. Good. Okay. [inaudible].

Integral Anatomy: The Integral Anatomy Series

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5 people like this.
Dear Gil, the more often I watch your videos the more I recognize that my way of understanding also underlies sort of a layer system. Back than it starts with just anatomical interest but soon it became much more. Layer by layer the pictures and your words sinking deeper and deeper, they spread like waves. Washing my face this morning and looking not only in the mirror but right into my face I was suddenly deeply moved by what I saw and felt - especially with the backround of your words. And hopefully someday I‘ll feel that same awe for my belly rolls...😉 Thank you for that! Thank you Pilates  Anytime! 😘
Thuy L
1 person likes this.
thank you very much
I appreciate y'all's interest, thank you!

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