skin (surgery) simulation

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Man you are really doing serious project.... I don’t know much but I think you need to go for un-welded vertices … also I think some real physics should be used like pressure, also the vertices in all skin model should be relative (e.g. pushing one vertex forward should cause a shifting effect with different distances to the surrounded vertices) and when you remove triangles (for wounds) you need to show skin depth for realistic simulation.

All the best