Closeup tilt up shot of a Caucasian man wearing white tank top sitting on a chair inside a room and rubbing his biceps that has multiple scars

arm rubbing skin wound body inflicted scar tissue scratching injury mutilation cutting elbow cut itching biceps dermatologist harm cosmetic drug torture top patient abuse man healed substance narcotic mark deliberate closeup plastic intentional knife surgery suicidal bipolar psycho victim attack self caucasian white multiple fore left blade psychological tank