A Tzimisce can make a Nosferatu look more human, but this wears off an hour after the work is completed. Uses of this power to inflict damage do heal, but leave noticeable scars. Vampires can heal these alterations as thought they were aggravated damage, while mortals require corrective surgery. Alterations resulting from Vicissitude are permanent.Using Vicissitude without this Specialty imposes a –2 penalty on the appropriate roll. Many uses of this Discipline use the Crafts Skill, but the character requires a specialty in Body Crafts to make full use of it.