The Spread Shot of Yachie Kicchou from the world obsessed with healers (a Touhou LW original). She attempts a treatment using animal spirits. Yachie's beauty treatment isn't meant to heal wounds or illness. Instead, she can change a person's appearance (even if they're a spirit) into whatever form they desire, which is exactly why her services are in such high demand among those looking to alter their features or profit from their looks, especially in a place like the Animal Realm. However, Yachie doesn't simply treat everyone who asks. Part of the reason traces back to how she picked up her cosmetic treatment techniques in the first place. She was once offered payment to visit Eientei, only to learn they wanted her to donate her own fat for herbal medicine. She turned that down, but ended up learning from them anyway. Given that messy history, it irritates her when people ask for results without sparing a thought for what she went through to acquire her knowledge and skills. But that's not the main reason. She doesn't believe a person's physical appearance should be changed so carelessly.

The Focus Shot of Yachie Kicchou from the world obsessed with healers (a Touhou LW original). She attempts a treatment using animal spirits. Think of the body as a miniature version of the Earth. The same way feng shui reads the shape of the land, a person's appearance—the lines of the palm, the shape of the face, the arrangement of every feature—reveals their nature. And because that same appearance shapes who they are, it also shapes their fate. That's precisely what makes tampering with someone's appearance so risky. Changing one person's fate doesn't end with them. Every fate is tangled together, forming one vast, intricate web across the world, and disturbing even a single thread can set off a chain reaction that collapses the whole system. The butterfly effect is no laughing matter. Knowing this gave Yachie a newfound respect for Remilia.

A Spell Card of Yachie Kicchou from the world obsessed with healers (a Touhou LW original). She performs cosmetic procedures. Plenty of people spend their lives chasing beauty. But beauty, in some ways, is shaped by fate. Its origin lies in starlight―fragments that fall from the astral world and settle into each person, becoming the fate they carry. That's the idea behind the phrase "born under a lucky star." Beauty, in other words, is really just the beauty of one's fate. Which raises the real question: is that fate actually worth changing?

A Spell Card of Yachie Kicchou from the world obsessed with healers (a Touhou LW original). She performs cosmetic procedures. What's the point of enhancing someone's outward beauty when there's no wound or illness to treat? The answer, simply put, is that it heals the heart. That's all it is. A small adjustment can wash away someone's disappointment in themselves. Making a small scar less noticeable can lock away a painful memory. Turning into someone different can point a person toward a brighter future. ...That's the sort of impact a cosmetic procedure carries. At the same time, much like how the origins of makeup, piercings, and other traditional forms of body modification carry ritual meaning, this practice holds a kind of spiritual significance. One's mental state, after all, plays a big role in how they live their life.

The Last Word of Yachie Kicchou from the world obsessed with healers (a Touhou LW original). She ties her sense of purpose to the very idea of beauty. Yachie Kicchou always asks her prospective patients one thing: what do they want, and are they truly prepared for it? Changing one's own fate doesn't always go the way it's imagined. It can affect the people around them too. In the worst case, it could help everyone around them while the patient alone ends up worse off. And as far as Yachie's concerned, there's even a chance the consequences circle back to her, the one who did the procedure. That's why she never takes body modification lightly. It's just too much trouble for her. If there's any other way to solve the problem, she'll always recommend that instead. But if she ever decides a procedure truly is necessary, she'll be willing to take that risk together with the person she's treating. That's oddly kind of her. But even someone who can reshape body and spirit at will is allowed to be soft every once in a while.