In any event, props to the surgeon here.... definitely aftermarket bolt-ons, albeit a quality job.
That was my first thought about her farkles: "Better living through petro-chemicals".
My brother-in-law is a surgeon in Russia (different story). Back in the early 90s, he asked me to translate a procedure on doing **** jobs into Russian for him. Naturally, I obliged. Ever since I read the details, I have to wonder why in the hell anyone would want to do that! But then again, when it's done right, it sure does look purdy...