Anatomy of the Body for Piercers Elayne Angel€¦ · Anatomy of the Body for Piercers Elayne Angel...
Transcript of Anatomy of the Body for Piercers Elayne Angel€¦ · Anatomy of the Body for Piercers Elayne Angel...
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AnatomyoftheBodyforPiercers ElayneAngel
APP2016 9
§ Nipples are devoid of • Hair follicles • Sweat glands • Adipocytes (fat cells)
§ Areolae contain numerous sebaceous and sweat glands and hair follicles
§ Raised structures on the areolae are Montgomery glands or tubercles, or areolar glands
§ Normal variation § Provide lubrication during
breastfeeding § Best to avoid piercing them
§ Fissured with multiple lactiferous (milk) ducts opening onto them
§ A properly placed, average sized piercing will not seal off all the ducts
§ Should not prevent breastfeeding, though some colostrum or milk may come from the piercing
§ The subcutaneous nipple
tissue is mostly circularly
arranged smooth muscle
• Compresses the
lactiferous ducts during
lactation
• Erects the nipples in
response to stimulation
§ Post-surgical anatomy § Pierce only if pliable, wait
1+ years post surgery
§ Inverted nipple § Pierce only if it
can be everted
§ Piercing too wide § Curved bar poor choice
§ Pierce at the base of the nipple in the natural creases
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AnatomyoftheBodyforPiercers ElayneAngel
APP2016 10
§ Male nipples are
somewhat analogous to
female nipples
• Smaller size (usually)
• Lack the glandular tissue
and adipocytes that female breasts contain
§ On flat nipples, piercing should
encompass a minimum
3/8” (10mm) between entry and
exit when relaxed
§ If nipple is defined with
substantial height at tip, piercing
can safely go in as little as
5/16” (8mm) width of tissue
§ Superficial fascia has 2 layers:
§ Camper's fascia, the fatty outer layer, (more superficial)
§ Scarpa’s fascia: deep fibrous/membranous layer
§ Note extent of subcutaneous fat and muscle fascia
§ The umbilicus is the remnant from the umbilical cord
§ The navel is a scar
§ The “umbilical tip” is the center of the navel
§ The “periumbilical skin”
is the tissue that
surrounds it
§ This is what we
traditionally pierce
§ Firm attachment point to
the underlying
subcutaneous tissue
§ In contrast to the
otherwise loosely
attached skin over the
abdominal wall
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AnatomyoftheBodyforPiercers ElayneAngel
APP2016 11
§ Note communication of navel with liver tissue
§ Hollow areas are the bowel--near the navel
§ A perforation of the GI tract: peritonitis (infection)
Round Ligament
Liver
Navel
§ In full abdominoplasty (tummy tuck) the navel
is cut free and sutured
in a new location
§ It is dense, tight scar
tissue—not a good
place for a piercing
§ Laparoscopic scars of the lower umbilicus aren’t always an issue for traditional navel placements
§ Ports are also commonly inserted near the exit side of a standard navel piercing
§ Check to confirm
§ Umbilical hernias can
develop due to:
• Developmental deficiencies
• Congenital umbilical hernia
• Weakness in the linea alba
in the midline of the
umbilicus
• Post operatively
§ Disruption of bowel wall must be avoided
§ Complications include: • Peritonitis secondary to bowel
perforation • Possible sepsis due to
spillage of enteric (intestinal) bacteria into abdomen
• If not emergently treated with surgical repair and aggressive antibiotics: septic shock, cardiovascular collapse, death
§ Root (not pierceable-in perineum between fascia)
§ Body § Glans
§ 3 cylindrical bodies of
erectile tissue: • 2 bodies of corpus
cavernosum • 1 cylinder of corpus
spongiosum (contains urethra)
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AnatomyoftheBodyforPiercers ElayneAngel
APP2016 12
Penile blood supply:
§ Dorsal artery (terminal branch of external iliac artery)
• Supplies fascia, skin of penis, corpus spongiosum
§ Deep arteries/cavernous arteries
• Supply corpus cavernosa via penetrating helicine arteries
§ Use a bright light to illuminate tissues
§ Avoid deep structures
§ Pinch up and pierce the loose, pliable tissue
§ Piercings through the spongy tissue of the glans
§ Location of cavernosa in glans is variable
§ Palpate/illuminate glans near corona to identify cavernosa § Risk of puncturing dorsal vein, nerve, or artery
§ Use a strong light to locate the vessels
§ Risk of puncturing cavernosal arteries § Vessel damage can cause excessive bleeding
§ Spermatic cord and tissues overlying the testis come from the abdominal muscles (external and internal oblique and transversus abdominis)
§ Spermatic cord contains arteries, veins, nerves, and the vas deferens (tube for passage of sperm from the testis)
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AnatomyoftheBodyforPiercers ElayneAngel
APP2016 13
Risk of serious, widespread infection due to the depth of tissue involved and the closed spaces that communicate throughout
the scrotum, spermatic cord, and abdominal wall
§ Female external genitalia is
comprised of the following
potentially pierceable spots:
• Mons pubis
• Labia majora
• Labia minora
• Clitoral glans (clitoris)
• Prepuce (clitoral hood)
§ Clitoris: erectile organ composed of two crura, two corpus cavernosa
§ Glans covered by prepuce (hood)
§ Clitoral body (“shaft”) connected to the glans
§ The clitoral glans is
homologous to the penile
glans
§ Sexual arousal is the only
function of the clitoris
§ It contains 8000 sensory
nerve endings, (not 4000, like
the penis does)
§ Look carefully under bright light for vessels to avoid
§ Common along the sides at the base of the hood
§ Can be prohibitive to proper placement of HCH and/or triangle
§ Risk of scarring
§ Risk of infection
§ Pressure issues
§ Fascia layers
§ Muscle Compartments
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AnatomyoftheBodyforPiercers ElayneAngel
APP2016 14
§ Direct, continuous pressure can cause diminished blood supply to the surrounding tissues/structures
§ Could lead to tissue or bone density loss
§ Worst-case scenario, tissue or bone necrosis (death)
Sternum piercing
Pressure on the bone here à could be problematic
Scarring from rejected
surface piercing
There is generally less scarring from surface anchors (vs. surface piercings)
Scarring from anchor Long-term success here is
highly unlikely:
§ The area gets too much
movement and trauma
§ Ornaments are not
perpendicular to the surface
§ Anchors tilted and migrating Surface anchor neck project
§ Truly long-term success, in general, is unlikely (when compared to traditional body piercings)
§ They may last for weeks, months, or sometimes years
§ Educate your clients that surface anchors may be temporary adornments!
Obviously a goner § Larger white structures are tendons
§ Alongside of those are the nerves
§ Synovial tendon lining (dark)
§ Infection can easily spread far
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AnatomyoftheBodyforPiercers ElayneAngel
APP2016 15
Vascularity of the hand
§ Greater infection risk than
many other areas
§ Likelihood of trauma
§ Be aware of the
complexity of hand
anatomy before piercing
§ Rich blood supply via terminal branches of several arteries § Return blood flow via corresponding veins, and internal and
external venous plexus
Possible complications: § Uncontrolled bleeding § Incontinence (gas and/
or feces) § INFECTION
• Infection of anal mucosa • Extension into ischioanal
fossa • Ischioanal abscess • Pelvirectal abscess • Rectal fistula
§ No adipose tissue (padding) in eyelid
§ Repeated trauma, abrasion, possible laceration
§ Pain
§ Scarring of cornea with eventual loss of function