# Multi Procedure Stack

> Plan and preview cumulative effects of stacked aesthetic procedures (e.g. nose + chin + filler) in correct surgical order. Use for 多项目叠加, combined procedures, treatment plan simulation, or cumulative cosmetic outcome preview.

- Skill: `freakyglorian-create/multi-procedure-stack` (Agent Skill, multi-file: 2 files)
- Install (CLI): `npx skillmds@latest add freakyglorian-create/multi-procedure-stack`
- Raw SKILL.md: https://api.skillmd.com/api/skills/freakyglorian-create/multi-procedure-stack/raw
- Safety review: pending
- Works with: Claude Code, Claude.ai, OpenAI Codex
- Category: Coding & Dev Tools
- Author: freakyglorian-create (https://skillmd.com/u/freakyglorian-create)
- Updated: 2026-09-22
- Page: https://skillmd.com/skills/freakyglorian-create/multi-procedure-stack

---


# Multi-Procedure Stack

Simulate **realistic treatment plans** where order matters: structural bone/cartilage first, soft tissue filler last.

## Stacking Order (default)

```
1. Structural (rhinoplasty, genioplasty, orthognathic visual)
2. Skin / resurfacing (subtle tone, not shape)
3. Volume (filler, fat graft)
4. Surface (lip contour, fine lines)
```

Never simulate filler before structural — it misleads patient expectations.

## Stack Definition (JSON)

```json
{
  "patient_id": "demo_001",
  "base_image": "before.jpg",
  "stack": [
    {"procedure": "rhinoplasty", "params": {"bridge_lift": 10, "tip_rotation": 5}},
    {"procedure": "chin_projection", "params": {"forward_mm": 4}},
    {"procedure": "lip_filler", "params": {"upper_volume": 12}}
  ]
}
```

## Workflow

```
- [ ] Load base image
- [ ] For each step in stack:
      apply sim → save intermediate `step_N.jpg`
- [ ] Generate strip: before | step1 | step2 | final
- [ ] Generate cumulative morph (before → final)
- [ ] Export stack manifest JSON for reproducibility
```

## Script

```bash
python scripts/stack_preview.py plan.json --output-dir results/
```

Output:
```
results/
├── step_0_before.jpg
├── step_1_rhinoplasty.jpg
├── step_2_chin.jpg
├── step_3_lip.jpg
├── strip_comparison.jpg
└── manifest.json
```

## Consultation UX

Present as **「分步效果」** not just final:
- Patients understand each contribution
- Reduces "overdone" requests when they see cumulative drift
- Doctors can toggle steps on/off in UI (future: build React slider from strip frames)

## Creative: Package Presets

| Package | Stack |
|---------|-------|
| 侧颜四件套 | nose + chin + jawline + lip subtle |
| 幼态脸 | cheek filler + lip + brow lift subtle |
| 男士轮廓 | jaw angle + chin + nose bridge only |

Store presets in `presets/` as JSON; agent copies and tunes params per patient.