That ring really pulled the skin off excessively. But at least she said yes! What causes this is a sudden pull on a finger ring results in severe soft tissue injury ranging from circumferential soft tissue laceration to complete amputation. Degloving injury is simply an avulsion in which an extensive section of skin is completely torn off the underlying tissue, severing its blood supply. It is named by analogy to the process of removing a glove. Typically, patients catch their wedding band or other finger ring on moving machinery or protruding object, which often requires major surgical interventions. Treatment options include replantation or revascularization of the degloved skins, or when these are not possible, skin grafts or skin flaps. While the preservation of the extremities and limbs is normally preferred, in some severe cases amputations may be advised or required. FYI - this isn’t real, but do represent a real injury and situation! Photo by @sfxkarla