The image displays a close-up, top-down view of a medical procedure taking place in Las Crucitas, Mexico

The image displays a close-up, top-down view of a medical procedure taking place in Las Crucitas, Mexico. A person with light to medium skin tone is depicted, with their bare right hand pinching a fold of skin on a human subject's reddish upper back. Directly below this, a hand encased in a black protective glove holds a thin, metallic needle. This needle is partially inserted into the pinched skin, with its visible shaft extending from the skin to the gloved hand. The handle of the needle, held by the gloved hand, features a small, reflective, rectangular element. The subject's dark hair is partially visible on the far right edge of the frame. A green surface, consistent with a medical drape or examination table, is visible in the lower-right quadrant and along the bottom edge of the image, indicating a clinical setting.