Sometimes, face, hands, and feet are left undissected for a longer time unless there is a dissector specifically interested in these areas. Novice dissectors often feel a strong hesitation to make incision on those structures. We tend to identify individuals by their faces, as it is the most public and social part of the body. It serves as the primary interface between “I” and the society. We can’t see our faces directly: what we see is merely a reflection in a mirror or an image captured by a camera at a particular moment. As a result, a person’s self-image does not always align with their physical face. 

When I went home for my father’s funeral, I found my junior high yearbook.  I recognized the faces of girls I hadn’t seen in decades; one by one, they came back to life in my memory. I knew those teenage girls; they looked exactly as I remembered. I turned pages looking for my photo, but I couldn’t find it.  I felt confused, being certain I was in the yearbook. I started over from the first page, and with each turn, the faces of the girls became clearer in my memory. Still I couldn’t find my own face. 

On the third try, I finally found my name under a photo. She was a beautiful teenage girl. I didn’t recognize her because I had been told I was an ugly, unattractive, miserable creature—an image I had come to believe due to the distorted reflections I had been shown. Did I look ugly to you, Dad?  Or did I threaten you?  Did I look ugly to you, Mom?  Or did you also believe what Dad saw? 

Anyway, it’s too late. I lost the chance to live the life of a pretty girl and became a plain looking high school student. When I remember my high school years, I see myself as that unpopular girl with long hair hiding half of her face, like Violet Parr in The Incredibles, believing that she is invisible. My best friend is that popular girl who dates the football team captain. Years later, I had the opportunity to attend a high school reunion. One guy—who was neither the football team captain nor an academic high achiever—told me that I had been his crush in high school. I was stunned.  “You were a beautiful and intelligent girl,” he said, “and I admired you.”  I didn’t know.  I knew he liked me, but I couldn’t believe that anyone would genuinely like me. So I missed the chance to live the life of a popular girl in high school. When surrounded by distorted mirrors, we come to believe the distorted images they reflect.  

Some people are desperate to modify their faces to match their self-image. Skin is often rubbed, massaged, moisturized, medicated, and painted. It is sometimes cut, stretched, peeled, threaded, paralyzed, and modified in various ways. The skin of face, in particular, receives the most attention. 

I often see older women in my neighborhood with skin stretched unnaturally, resembling a Japanese Noh mask. For those individuals, the skin is not an archive of their life’s history but rather a screen on which they project their fears about the future. They are desperately trying to reverse the time, even though their faces, frozen in a perpetual state of youth, no longer reflect who they truly are. 

The skin is continuous throughout the body, and you won’t find perforated lines to guide your cuts. You need to decide where to make an incision. Where does the face start? The skin on the face is quite thin, so you won’t see much subcutaneous adipose tissue. Instead you will find the parotid glands, which look like pads of fat, under ears. Working on it requires a meticulous attention. 

One facial expression muscle you might miss if you don’t know its location is the platysma. In many dissection workshops, it is mistakenly cut away along with subcutaneous adipose tissue. When I managed to save it from being partially cut away with the superficial fascia, I was fascinated. This extremely thin and broad muscle, which extends from the chin to the upper chest, resides between the sheets of subcutaneous adipose tissue. I can activate it and make it pop up. Despite being easy to miss during dissection, this muscle is not immune to modification: platysmaplasty, or neck lift, is a common procedure. 

Once the skin and superficial fascia are removed from the face, the cadaver looks less personal and more like an anatomy chart. 

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