Will Over Form
Those who have yet to attain this level of Vicissitude are still bound by proximity when using Vicissitude — they must touch and sculpt in order to use the Discipline. A sufficiently enlightened Tzimisce can exert the same level of control with her mere thoughts.
System: A Cainite with Will over Form can use any Vicissitude power without touching — simply seeing the target is enough. If the character wishes to use Vicissitude on herself, only concentration is necessary. Will over Form even allows for Vicissitude to be used through the Auspex power Farsight or various Koldunic Sorcery effects. In this case, however, a point of Willpower must be spent and all effects are at +1 difficulty.