#Surgical Grafts

[visionarymedicare]

How are Heart Diseases Diagnosed and Treated?

Any ailment that affects the heart including arrhythmia and coronary artery disease is known as a heart disease. In other words, any ailment that affects the heart is considered a heart disease.

A person is asked by the physician to undergo a variety of tests and examinations to detect heart disease before using any type of cardio vascular medical device for treatment. But that's not all. To find out its symptoms or how it is diagnosed and treated, read until the end.

Diagnosing a Heart Disease - How Is It Done?

As mentioned earlier, there are several tests and examinations that a patient is asked to undergo. These tests are done to check the cholesterol levels in the blood to know the presence of types of fats. To be precise, these tests include examining total cholesterol, low-density lipoprotein (LDL) cholesterol, high-density lipoprotein (HDL) cholesterol and triglycerides.

Some other tests include the following: 

Lipoprotein (a)

C - reactive protein

Homocysteine

Complete blood count

Fasting glucose

CT scan

Heart MRI

Cardiac catheterization and coronary angiography and many more.

If the tests show that the patient has a heart problem, then the doctor may proceed with using cardio vascular medical device for treatment.

Is It Necessary to Undergo an Open Heart Surgery to Treat the Heart Disease?

As said above, there is no need to undergo an open heart surgery unless you have been said so by the doctor. To replace or fix a damaged heart, open heart surgery requires opening the chest using fine surgical instruments.

Open heart surgery is usually performed to treat heart conditions like heart failure, heart valve disease, aneurysm, coronary artery disease and many more. When any patient is diagnosed with such diseases, the doctor uses the best practices to carry out the surgery and save their life.

How Do Doctors Treat a Heart Disease?

There are different ways in which doctors treat the heart disease of a patient. It totally depends on the problem that one is undergoing through. However, in major cases, the doctor may have to use medical instruments such as surgical grafts and MICS instruments to save the patient's life.

For instance, a doctor may use vascular surgery products and cardiovascular instruments like pacemakers to monitor and help control irregular heartbeats in patients with heart failure problems. While other cardiopulmonary bypass vascular catheters may be used in cardiopulmonary surgery so that the vessels can be cannulated.

Offer Excellent Healthcare Services for the Patients in Need

Generally, a patient can be treated using medications or following a proper diet and there may be no need to use any type of cardio vascular medical device. Just like patients feel concerned about their health, doctors go the extra mile to offer the simplest and the best treatment possible. If you are a medical practitioner to provide top-notch medical solutions, then come to us at Visionary Medicare Pvt. Ltd. We are the leading professionals with a focus on advancing healthcare infrastructure and exceeding service expectations so that no patient is left out without receiving great service.

[topsurgerystuff]

Now, I will expound upon the scary things. These are things that happened after top surgery that spooked me.

All of these things ended up being harmless, I just wasn’t told they would happen and couldn’t find any info about them so they scared me shitless. My intention here is to save others from similar needless panic. This is not medical advice, just a description of my experience. Well some of it is advice, but keep in mind that I’m fucking stupid and I don’t know shit. Also, Never for one second have I regretted this surgery. The only thing I miss about my tits is being able to grope them whenever I wanted.

Okay so first of all there was the bruises. Blood from the surgery had pooled in my love handles and all over my thighs under my skin and made these HUGE bruises, right, and they didn’t hurt but they were large and had funky colors and I thought “What if the blood rots under my skin”. I googled it, I asked all my friends, I tried to reach my doctors but it was the weekend so they didn’t answer so I went to urgent care and the doctor there was like “I dont know…. That’s scary….” So I was freaking out and decided I would simply wait for death to claim me. It was fine. When I finally got ahold of the doctor she said she’s never seen it before but to just watch it and tell her if it gets bigger. My body slurped that shit back up in a couple weeks, totally harmlessly. Why haven’t surgeons ever seen shit like that before? Probably because nobody’s ever freaked out about it enough to mention it to them. Either way, it was fine.

Secondly, when I had those drains in me, that was spooky because I thought “What if they get yanked out and tear up my shit” and I couldn’t take off the bandage too see or nothing but when I did eventually take them off, I saw that there are stitches around the pipes but not like holding them in you, just there to make sure the holes they put in you stay the same size they are. So if they get pulled out you don’t get seriously damaged, you just call them up and say yo can you put this shit back in me pls. There will also be little meat chunks coming through your tubes with your soup and the soup will be mildly funky smelling. That’s normal. I was told to tell them if there was like CRAZY amounts of meat or if the soup smelled absolutely nasty. Also the bolster things they put on your nips are attached directly to your nips and nothing else, so if you feel shit sliding around under your bandage, that’s the bandage sliding, not the bolsters. They didn’t tell me that so I thought I was gonna wake up with one on my back or something and not be able to put it back where it was. And they make it so it’ll be nice and slippery in there the whole time so don’t worry about the bolsters getting ripped off, there’s not enough friction in there to do that.

There was also the hydrocodone they gave me. For me, the incisions didn’t hardly hurt at all even immediately after surgery but they prescribed me hydrocodone so I took it, and I assumed I wasn’t hurting because of the drugs and that if I stopped taking them I would hurt a LOT. So here I am taking opioids and I’m so fucking dizzy and I’m violently throwing up for two days. I texted my doctor and begged to stop taking it because I thought I would get in trouble or something if I stopped without asking and she’s like “Yeah, you didn’t have to take it if you didn’t want to, its just there if you need something stronger” ohhhhhhhh well fuck me I guess. So I stopped taking it and it turns out I didn’t need pain meds at all because it barely hurts, it just feels like a really long paper cut.

Some other things, I popped a stitch in my armpit because when you first come home and your shits still all numbed up, you can’t feel it when you overstretch your arm so if you forget you’re not supposed to do that, you can pop a stitch. It got infected, I put some antibiotic on it, it took a long time to heal and it made the scar a little uglier but it didn’t cause anything crazy. I will say that my incisions go up into my armpits really far and it was real hard to keep them clean on account of all the sweat. My nipple grafts also had many tiny, shallow stitches and I thought “What if they fall out because they’re so shallow”. That’s normal. My dad said that’s how you do stitches for sensitive areas so they look pretty, and they do look pretty, and also they are supposed to fall out after a couple weeks, that is also normal. Just make sure they don’t fall out too soon I guess. Pretend you’re made of glass for the first 4 weeks, honestly.

Also, your nip has the little oil glands in it, right, and when you’re nip scabs over as it is supposed to, it will scab inside these oil pores and you’ll lose the whole rest of the scab and have these little leftover scraps, and you Must. Not. Pick them. Those pores in my nips are little craters now because I picked the scabs out of them. Every scab you pull off, even the ones that are thin and tiny and already hanging halfway off, is going to make your nip even uglier. You wont die but you will say “Ugh why did it do that”.

Also, my nip hole collects nasty shit in it that I have to clean out all the time and since I can’t feel anything in there I have the be VERY careful. Skin is actually very easy to puncture. And there’s like little caverns in there that also get stuff in them a lot so I still put antibiotic on my nips after I shower just in case? Not really sure if its infection or like dead skin… its been getting better over time at least. Sorry if that’s TMI but listen, somebody’s gotta talk about it.

Sometimes my scars, the main incisions, will get these little blackheads right in the middle of them or little pockets of infection, and I always pick at them and the scar tissue isn’t very strong so when you pick at things on your scar, you will break open all the blood vessels around it and have a big red spot and the scar tissue is such that you will not get the blackhead out anyway so just dont do that. Put some antibiotic on it. Honestly just put antibiotic on anything that looks sus. Antibiotic can solve anything.

Okay idk what else to say so end post goodbye.

[foreskinniest]

When I get health insurance again I'm gonna get soooo many surgeries. For fun!

[coldflasher]

I GOT MY NEW KEYCARD

[lesbianocellus]

decided to touch up on my ponysona/oc!

local pony plays god for fun and for profit

[t00thpasteface]

really i think step one of really digging your teeth and nails into a work of fiction is to surgically excise the buzzwords "media" and "consuming media" and possibly even "entertainment" from your brain and instead try grafting in the terms "fiction" and "engaging with art". step two is to have fun and be yourself!

[transbee]

Cannot fully articulate this thought rn but one of the reasons I think Vincent's story strikes a chord with me is the disability/lack of autonomy side of it.

[kneecares]

Dr. Amit Meena | High Tibial Osteotomy Clinic in Jaipur | Orthopedic Surgery

KneeCares Clinic in Jaipur, proudly offer high tibial osteotomy (HTO) as part of our comprehensive orthopedic care. Led by one of the best orthopedic surgeons in Jaipur, Our clinic specializes in advanced joint knee replacement, including Total Knee Replacement and Hip Replacement Surgery.

[wheatthinsofficial]

what's a normal way to say "I want us to be buried in the same coffin" to someone you've been on 1 date with

[unitedhospital]

Things to Keep in Mind While Choosing the Right Cardiac Surgeon

There is nothing more worrisome than discovering you have a heart issue. It's no secret that acting promptly is crucial, especially with cardiac problems that can quickly become serious. Fortunately, today, advanced technology and expert cardiologists make high-quality cardiac care easily accessible when it's most needed.

However, according to cardiac specialists at United Hospital, recognized as the Best Cardiology Hospital in Bangalore, say that finding the right cardiac surgeon for you is quite a challenge

Here are some important factors you can keep in mind.

Choosing the Best Cardiac Surgeon

According to Bangalore’s Best Cardiologist operating at United Hospital, the skill sets Of your operating surgeon play a huge role especially when complicated cardiac surgeries are to be performed. Therefore, it's crucial to choose your cardiac surgeon wisely.

ReferralsSeeking recommendations from your friends, family and other healthcare professionals can be very useful while searching for a professional cardiac surgeon. Though you have a reference, assess your surgeon by communicating with him freely.

Review his credentialsAs the patient in question, you have every right to study your cardiac surgeon’s credentials with respect to his qualifications and certifications. It is a good choice to connect with hospitals whom your surgeon is associated with and study his records.

Consider the Surgeon’s experienceSuccess percentages of the surgeon are of paramount importance when deciding on engaging a cardiac surgeon. The more experience with a particular condition or procedure a cardiac surgeon has, the better your results are likely to be. If possible, get in touch with patients whom the surgeon in question has treated to understand his approach.

Research Hospital QualityChoose a hospital which has all the advanced surgical facilities and more importantly, rehabilitation facilities as the duration of your hospital stay after surgery depends upon how quickly you respond to treatment post-surgery. Hence, choose a hospital which has a good track record for cardiac care as well as convenient to travel for frequent checkups.

CommunicationCommunication Skills and Confidence levels of your surgeon are equally important. It is good to engage a surgeon who can communicate freely and instil confidence in you especially if the surgery is tricky and communicated. At the same time, he should be able to understand if you have any budget constraints and suggest the best possible approach which does not deprive you of quality treatment.

Cardiac surgeries can be stressful for patients and their loved ones. Therefore, choosing a hospital and surgeon who makes you feel comfortable from the beginning is essential. If you're seeking a Good Heart Hospital in Bangalore with an experienced cardiac team, consider reaching out to United Hospital.

[healthcareporium]

Unveiling the Potential of Biosurgery: Market Analysis and Innovation

What is Biosurgery?Biosurgery, a rapidly evolving field in healthcare, is gaining prominence as a pioneering approach in various medical procedures. It involves the use of specialized biological materials and techniques to aid the healing and sealing of wounds, control bleeding, and promote tissue regeneration. In this blog, we delve into the biosurgery market, exploring the key product types and…

[symbiosisonlinepublishing]

𝟏. 𝐒𝐮𝐫𝐠𝐢𝐜𝐚𝐥 𝐒𝐩𝐞𝐜𝐢𝐚𝐥𝐭𝐢𝐞𝐬: Surgery encompasses numerous specialized fields, each focusing on specific types of surgeries and body systems. 𝟐. 𝐏𝐫𝐞𝐨𝐩𝐞𝐫𝐚𝐭𝐢𝐯𝐞 𝐀𝐬𝐬𝐞𝐬𝐬𝐦𝐞𝐧𝐭: Before surgery, patients undergo a comprehensive preoperative assessment, which includes medical history, physical examination, and diagnostic tests like blood work and imaging studies.

Visit: https://symbiosisonlinepublishing.com/surgery/

[sffgtrhyjhmnzdt]

Fat Grafting Treatments 

(Enhancing Aesthetics and Promoting Tissue Regeneration)

Fat grafting, also known as fat transfer or autologous fat transplantation, facial fat injection in texas, is a medical procedure that involves harvesting fat from one area of the body and injecting it into another area to enhance aesthetics or promote tissue regeneration. This innovative technique has gained popularity in recent years due to its natural and long-lasting results. In this specialty medspa, we will explore the various applications, benefits, and considerations associated with fat grafting treatments.

Procedure Overview:

Fat grafting treatments in frisco, typically involve the following steps:

a. Donor Site Harvesting: Fat is extracted from areas with excess fat deposits, such as the abdomen, thighs, or buttocks, using liposuction techniques.

b. Fat Processing: The harvested fat is carefully processed to remove impurities, excess fluids, and damaged cells, ensuring a purified and concentrated fat graft.

c. Recipient Site Injection: The processed fat is then injected into the desired area, such as the face, breasts, hands, or buttocks, using specialized techniques to achieve the desired outcomes.

Aesthetic Applications:

Fat grafting has gained significant popularity in aesthetic medicine due to its ability to enhance various facial and body features, including:

a. Facial Rejuvenation: Fat grafting treatments in texas can restore volume to the face, reducing the appearance of wrinkles, lines, and hollow areas, resulting in a more youthful and refreshed appearance.

b. Breast Augmentation: Fat grafting offers a natural alternative to breast implants, allowing patients to achieve moderate increases in breast size while simultaneously contouring other body areas.

c. Buttock Augmentation (Brazilian Butt Lift): Fat grafting is commonly used to reshape and enhance the buttocks, creating a more rounded and lifted appearance.

d. Hand Rejuvenation: Thin, aging hands can be rejuvenated with fat grafting, restoring volume and minimizing the visibility of tendons and veins.

Regenerative Applications:

Apart from aesthetic uses, fat grafting has shown promising results in promoting tissue regeneration and healing in various medical conditions, including:

a. Breast Reconstruction: Fat grafting is used in combination with other techniques to reconstruct the breast after mastectomy, helping to restore a natural shape and feel.

b. Facial Reconstruction: Fat grafting can assist in reconstructing facial defects caused by trauma, surgery, or congenital conditions, improving both function and aesthetics.

c. Wound Healing: Fat grafts have been utilized to improve the healing process in chronic wounds, ulcers, and radiation-induced tissue damage.

d. Scar Revision: Fat grafting can be used to soften and improve the appearance of scars, making them less noticeable.

Considerations and Limitations:

While surgical fat transfer in castle hill offer numerous benefits, it's important to consider the following:

a. Harvesting and Injection Techniques: The success of fat grafting heavily relies on the skills and experience of the practitioner, as well as the use of proper techniques for harvesting, processing, and injection.

b. Variable Absorption Rates: Some of the transferred fat may not survive in the recipient site, leading to a variable absorption rate. Multiple treatment sessions may be required to achieve the desired outcome.

c. Post-Treatment Recovery: Patients should be aware of the recovery process, which may involve temporary swelling, bruising, and discomfort. Following post-treatment instructions, fat transfer surgery in the colony  provided by the physician is crucial.

d. Individual Variation: Results can vary depending on factors such as individual anatomy, skin quality, and overall health. A thorough consultation with a qualified professional is essential to determine suitability and expected outcomes.

[angels-in-overcoats]

I think the most horrible part of batch 89 is how impractical they are. What possible purpose could you wish to achieve from surgically grafting wheels to a walrus or implanting a steel muzzle into a rabbits face? It's just pure sadism. Cruelty for the sake of cruelty. And it's horrifying.

[just-dreaming-marvel]

Love That Burns ~ 10

LOVE THAT BURNS MASTERLIST

< previous chapter

Word Count: 1,645ish

Summary: You continue to struggle with Logan's reappearance.

Warnings: talk of nightmares, emotional

Notes: This is a shorter chapter. Hope you still enjoy it. Reminder: I DO NOT do taglists. Please don’t ask. Please follow and interact! I appreciate any reblogs, likes, comments, and asks! 

Jean called you down to the lab. When you got there, x-ray’s of Logan’s were lining the walls and screens. Charles, Scoot, and Ororo were already sitting in front of the screens. You pulled up a chair behind them, studying the x-ray’s. You had seen Jam—Logan’s metal claws briefly and you knew that Stryker had a big part of that but Logan was never able to explain himself to you. 

“The metal is an alloy called adamantium,” Jean explained. “Supposedly indestructible. It’s been surgically grafted to his entire skeleton.”

“How could he have survived a procedure like that?” Ororo wondered.

“His mutation. He has uncharted regenerative capability which enables him to heal rapidly. This also makes his age impossible to determine. He could very well be older than you, Professor. And you, Y/N.”

“He’s turning 169 this year,” you mumbled.

Everyone’s heads snapped in your direction.

“And you know that, how?” Scott asked.

You shook your head. “He’s— He was—I can’t… I’m not ready.”

“Who did this to him?” 

“He doesn’t know,” answered Jean, trying to get the pressure off of you. “Nor does he remember anything about his life before it happened.”

“Anything?” You squeaked, a tear slipping down your cheek. “He doesn’t remember anything?”

“Y/N,” Charles called, trying to ground your emotions. “Perhaps it’s time to explain.”

“No. I’m not ready.”

He maneuvered his chair over to you. “I know. But we all deserve to know the truth about who Logan… who James is. Including him.”

You took a shaky deep breath. “His name is James Logan Howlett. He was born in 1832. I meant him in 1972 when he joined William Stryker’s team, which I was already a part of.” You looked up, trying not to let more tears fall. “He saved me from that team… we ran away. Started a life… we… we fell in love.” Your voice cracked and you quickly stood up. “I’m sorry… I can’t do this.”

You rushed out of the lab before anyone could stop you.

~~~

You needed food. You also felt like you needed to finally talk some more about your past with Logan. It had felt like a weight being lifted from you, making your realize you shouldn’t carrying this on your own. Exiting your room, you heard voices in the room next door.

“Where’s your room?” It was Logan.

“With Scott,” Jean replied, “down the hall.” You moved closer to the room.

“Is that your gift? Putting up with that guy?”

“Actually, I’m telekinetic. I can move things with my mind.”

“Really? What kinds of things?” You heard the closet doors slam shut.

“All kinds of things. I also have a telepathic ability.”

“What, like your professor?”

“Nowhere near that powerful. But he’s teaching me to develop it.”

“I”m sure he is.” You peeked around the corner as saw Logan move closer to Jean. “So read my mind.”

“I’d rather not.”

“Come on. You afraid you might like it?” 

Logan’s flirting with Jean stung you. You glanced to your side as you heard footsteps, only to see Scott joining you.

“I doubt it,” Jean replied to Logan. 

You watched as Jean raised her hands on either side of Logan’s head. She closed her eyes and entered his mind. Almost as soon as she started, she gasped and opened her eyes. Logan grabbed her hands to steady them.

“What do you see?” He asked.

Jean noticed you and Scott in the doorway. “Y/N!” She greeted. “Scott!” Jean pulled her hands away from Logan. “Goodnight, Logan.”

Logan turned, making eye contact with you. His breath caught as a brief image of you smiling flashed before his eyes. Jean walked past Scott and over to you, grabbing your hand and pulling you down the hall.

“Jean?” You said, confused. 

“I saw you,” Jean stated, stopping in front of her and Scott’s room.

“What?”

“I saw you in his mind. You’re in there. His memories of you are in there.”

“Don’t…” you shook your head. “Don’t give me hope, Jean. I don’t want it.” You turned away and looked at the door that Scott had just closed. 

“The ring is yours, isn't it?” Your head fell, hands coming up to cover your face. “The engagement ring with his dog tags.”

“Yes.”

“Oh, Y/N.” Jean quickly went around and hugged you. You melted into her with tears. 

“I thought he was dead, Jean… for twenty-two years, I believed he was dead…” Scott came up from behind, resting a caring hand on your back. “He doesn’t remember me,” you sobbed. “I love him and he doesn’t even know who I am.”

Jean and Scott moved you into their bedroom as your cries worsened. Neither of them noticed Logan peering out of his room. He could hear someone crying. When he noticed it was you, he only grew more curious. But before Logan could hear what you were crying about, you were led into another bedroom. There hadn't been a time in his twenty-two years of memory, where Logan’s heart ached like it did now. None of this was making any sense to him. Who were you? And what were you keeping from him?

~~~

Eventually, you ended up in your own bed. Crying should have worn you out, but you couldn’t sleep. Not with Logan in the next room over, having a nightmare. You bit your lip as you struggled to not rush over there. You didn’t want to overwhelm him. But his grunting, moaning, and cries were tearing you apart. Suddenly, you heard the familiar release of his claws and his screams.

“Help me!” Logan shouted. “Somebody, help!”

You were out of bed and into the next room before you knew it. You stood in the doorway to see Marie—or Rogue—the girl who came in with Logan, touching his face. Logan was greying, struggling to breathe. From what you had heard, Rogue was not supposed to touch others, as it could be dangerous. Rogue pulled away before you could stop her. Logan fell to the ground, trembling. You were quick to rush over to Logan’s side, placing his head in your lap to steady him.

“It’s okay,” you whispered. “I’m right here.”

Scott, Jean, and Ororo rushed into the room. Jean and Scott quickly joined you on the floor with Logan. 

“It was an accident,” Rogue said to Ororo as students gathered in the doorway.

Scott, Jean, and Ororo rushed in and joined you on the floor with Logan.

“Jean, will he be okay?” You asked, trying to bury the emotions within you but clearly failing. 

“His mutation is kicking in,” Jean explained as she looked him over. “He just needs rest. Scott, help me get him on the bed.”

You watched as Scott and Jean worked together to lift Logan—and his metal skeleton—onto the bed. Jean carefully got him situated before you stood up.

“We should all get some rest,” Jean stated.

You shook your head. “I’m not leaving,” you said, pulling up at chair to the side of Logan’s bed. “Not until I know he’s alright.”

“Y/N—“ Scott tried, only to be stopped by Jean. 

Scott sighed and the two of the left to go get the students who woke up back to bed. You sat on the chair, staring at Logan. He was your James in looks, but everything else was different. Including his personality. The years and memory loss had turned him into a rough man with walls up to protect himself. You suspected that he was also claiming it was to protect everyone around him as well.

~~~

“Logan?” Charles called, feeling the man lying on the bed begin to wake.

“What happened?” Logan wondered, looking at where Charles was beside him. “Is she all right?”

“She’s be all right.”

“What did she do to me?”

“When Rogue touches someone, she takes their energy, their life force. In the case of mutants, she absorbs their gifts for a while. In your case, your ability to heal.”

“I feel like she almost killed me.”

“If she’d held out any longer, she could have.”

Logan nodded, trying to place his thoughts together. He nightmare that he was in the midst of before Rogue came in was a familiar one. The flashes of the experiment they did on him. But there were some different scenes this time. Flashes of you. You crying. You laughing. You just talking to him. Turning his head, Logan finally realized that you were curled up in a chair, sound asleep. He looked at you with furrowed brows. Something inside of him hated seeing you asleep on the chair. You should be in a bed.

“She refused to leave your side,” Charles told him.

“Who is she?” Logan repeated the question from hours before. “I think… I think I knew her… Jean jumped into my brain and I think she did something. I keep seeing Y/N’s face.”

Charles sighed. “I suggest you talk to Y/N in the morning. She is the only one able to explain things.”

“Can you at least tell me how long Y/N’s been here?”

“Twenty-two years.”

Logan’s eyes snapped back to look at you. There was something you were hiding. Between the time frame being the same and your face appearing in his mind, Logan knew that you were some part of his past. You had answers to questions that Logan had been searching for. 

“Thanks, Professor,” Logan said, sitting up. “I’ll watch her.”

Charles nodded, heading for the door. He glanced back and saw Logan out of bed, heading for you. Charles watched as Logan picked you up and gently set you on the bed, tucking you in before taking his place in your chair. The Professor couldn’t help but smile as he left the room. There was some hope for you two after all.

next chapter >

[just-some-user-hunny]

Nikto headcanons...

Here are some of my nikto headcanons!

Dividers credits=

@rookthornesartistry

@anitalenia

@adornedwithlight

Images are not mine <3

Nikto man is covered in scars and burns- they're gnarly and rough and biting.

They cover the expanse of his chest and back, deep scar tissue running along his left side- the skin rough and almost scaly to the touch. He's hardened from the biting cold. Hardened from cruelty. An impenetrable vault of gnawed steel.

Prominent thick veins run up his hands and arms and v-line, and the expanse of his palms are rough and gritty and run hot. There's discolouration on his body, especially his left side, where you can tell there have been skin grafts and surgical procedures done to attempt to replace missing skin and muscle tissue, along with burnt skin. There are ripping and tearing scars in his shoulders and neck, which seems like canine bite marks- possibly having been mauled by dogs. It appears he had tattoos once- now left as scraps of skin and blotted messy ink, most of it burnt away or torn off. The skin grafts over his right shoulder, the wide expanse of his chest, and right side of his body almost seemed pieced together like a jigsaw of flesh. Incomplete tattoos, discolouration, scars. Like Frankenstein's monster.

He's built like a brute. Thick shoulders and arms, muscled hips and thighs, and a strong torso. Over winter he puts on fat- a pillowy layer of fat covering his thighs and stomach and chest. His build is strong- but not overly toned like a bodybuilder. Dark hair decorating the expanse of his chest and forearms.

His eyes are blue. Not the bright, blinding light blue you're imagining. They're like rain- grey and cool and icy, piecing and pinpointing. Intense and searching. Like Gunmetal and black ice.

The first time he takes his mask off, it's safe to say he's never been this terrified in his life. You've captured glimpses of his lower jaw and mouth whenever he peeled it up to eat or drink down his black cherry tea, and even then he seemed timid. Timid like a fighting pit dog whose wounds are fresh and exposed. You can see there is damage- how much, you cannot speculate exactly, but by the sight of a few more teeth than usual peeking through torn flesh, you can tell his wounds were heavy. Both physically, and emotionally. His lips are rough and torn, an attempt at a grin sliced into the flesh of the corner of his mouth- stretching out across his lower cheek in a violent snarling tear. He always seems a little embarrassed whenever he drinks around you- it's subtle, he's trying to be subtle, but you can tell by the way he makes himself eerily scarce in the moment that he's trying to disappear. His eyes avert, he struggles for a moment to swallow, and then he's timidly looking back at you. Like he's returned to his body, to the moment where he's sitting in the kitchen with you.

He lets you do it.

You take it off for him.

You're not sure you've heard him right. But he's as serious as ever, glacial blue eyes pinpoint with your own- like he was peering into your very soul.

You're settled between his legs, standing as he's slumped fidgety on your couch. His hands are squeezing at your hips anxiously; grounding himself as his chest rises and falls quicker than usual.

Your fingertips ghost over his lips, tracing the rough scarred tissue and the plumpness of his lower lip. He gazes up at you like you are the moon, like you placed the stars in the sky.

You do it slowly- noting his grip tightening on your hips as you peel away at the mask. His fingertips almost bruising, but he's shaking too.

You peel it away from his skin, revealing more and more of him to you. There are things you've never seen before- like the few light freckles that lay upon his cheek, wispy like constellations. His nose is prominent and crooked, a slavic nose. Strong. Nikto's eyes are still on you as you take him in and his knee is bouncing now. Like he wants to get up and run. But he stays put- like his straggling trust in you is stronger than the fear.

It's off quicker than expected. A head of dark mahogany hair, dark brows, and stressed lines in his forehead- all revealed like naked flesh. It's a little shocking- but in a good, refreshing way. You've never seen his face like this- all the glimpses of features you've had now laid out in front of you like a completed puzzle. He's beautiful.

A familiar stranger.

The damage you've glimpsed whenever he tucked that thick fabric up over his mouth is clear to see now, and you can see just how much it takes room on his face. The left side of his face is scarred and discoloured- acid burns? Fire? A part of his brow at the end is missing, where hair doesn't grow anymore.

Nikto feels naked. More naked than ever, and it leaves him angsty. Your eyes are drinking him in, gentle fingertips tracing his skin and nose- and it feels nice. But his whole existence is a bare festering wound, and he can't decide if he wants to flinch away from you and snarl- or ease into you like you're the balm that'll finally ease the sting.

"Andre".

You utter his name like it's a happy prayer. Like it's sunlight and warm tea that soothes your cold hands and soul. Something good. Something you want.

He's something you want.

Something in him crumbles, and before he knows it, you're lightly wiping your fingers under his eyes to dry the tears in his waterline. A deep  harrowing choke catches in his throat, and he's embracing you close like a life raft. Pressing his face hard into your stomach, as you scratch at the nape of his neck and pull at his short hair a little. You understand him.

That little sting grounds him, keeps him tethered to the earth and you.

Keep him grounded. Please.