What causes this?

>Yea Forums used to love traps
ironic shitposting is still shitposting

you are lucky then because you are the first person that it work for him because that shit will destroy the sponge

I don't think I've heard of this happening in the west yet, I HAVE seen lots of post op mastectomies though presumably done in the west, I assume since that surgery already exists as standard treatment practice for a serious illness it's easier to convince a doctor to do it to you just for fun

>that's literally a tranny you retarded idiot, there's no balls and you can also see the scars.
wow i didn't even notice the lack of balls
are you sure you're a straight man btw?

what are you even trying to say, dumb esl?