A hand-held, surgical instrument to manipulate a patient's tissues having a grip, a first blade, a second blade, a blade actuator, at least one blade rib, a light, and a power source. The first blade and the second blade each extend from the base end of the grip. The second blade is divided longitudinally into a left segment and a right segment, which are each pivotable about a common axis. Movement of the blade actuator causes the segments of the second blade to pivot about the common axis. The light illuminates the patient's tissues proximate the blades. The device may include suction ports on the underside of the first blade to provide aspiration. The blade rib may include multiple longitudinal blade ribs extending along the length of the first blade, the second blade, or both. The blade rib may also include multiple transverse blade ribs extending along the width of the first blade, the second blade, or both. The device may also include an integral camera and wireless transmitter to provide images of the patient's tissues to a separate display.