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If you'll look closely (sorry, I can't help it!  ), there's signs of scars just around the nipple. I'm thinking she just got a breast augmentation and, because of all the drugs, her breasts are really insensitive right now. She also has an expression on her face that would indicate that she's probably on heavy Vocodin or something equivalent. It's common for nipples to become slightly swollen and misshapen after the doctor (basically) moves them. If you've ever seen a breast augmentation procedure, you'd know that they have to move the nipple as well, otherwise just jamming the little packet in makes things look unnaturally perky. 
But yeah - very pretty lady; Breast/no breast
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There are more things in heaven and earth, Horatio,
Than are dreamt of in your philosophy.
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(still good though
)
