The Subcuticular Tissue Insert is for use in the practice of all common closure methods. The tissue plate is made of 5 layers developed to match the feel of epidermis, dermis, fat, muscle and includes an enhanced subcuticular layer. The subcuticular layer can be punctured from the side and will hold a suture to simulate pulling together of tissue. The fat layer realistically dissects and will not hold a stitch. The product is made to work with or without the Pro-Stitch Surgical Skills trainer. Realistic tensioning is possible with the Pro-Stitch Surgical Skills Trainer. All layers accept adhesive and bandage closure methods. The product is completely animal friendly and mess free. During use, the skin layer does not propagate a tear and will appropriately hold a suture. Tissue plates can be saved for evaluation or reused multiple times. Size is approximately 12" x 4.5"