Oh yeah, I’m not discounting this at all as a “practice” sort of simulacrum, but learning proper tissue manipulation really does require the real thing (skin and all). It’s kind of hard to describe, but each tissue, even the same type of tissue in different locations, can have different thickness and resistance to tearing. In the example of skin, just imagine the difference in trying to put sutures through skin in a very thin area vs a very thick area.
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