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Anthropology Now

ISSN: 1942-8200 (Print) 1949-2901 (Online) Journal homepage: https://www.tandfonline.com/loi/uann20

Middle-Class Compassion and Man Boobs

Thaïs Machado-Borges

To cite this article: Thaïs Machado-Borges (2013) Middle-Class Compassion and Man Boobs,
Anthropology Now, 5:2, 1-09, DOI: 10.1080/19492901.2013.11728396
To link to this article: https://doi.org/10.1080/19492901.2013.11728396

Published online: 17 May 2016.

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features The income of Tião’s family depended a
great deal on the summer vacation season,
when the arrival of tourists like Suzana and
Middle-Class Compassion her family increased the population of the
and Man Boobs village to at least four times its normal size.
Tião’s father worked on house maintenance.
Thaïs Machado-Borges During holidays and vacations, he worked
as a plumber and electrician, helping the
tourists out with problems. Tião’s mother

I n March 2011, one of Brazil’s leading


newspapers declared, “Man boobs are
the nightmare of 65 percent of boys aged 14
helped the summer families with cooking,
cleaning, washing, and other household
tasks. During summers and holidays, Tião
to 15.” The article, about the increased de- and his three siblings all worked on the
mand for plastic surgery to remedy the ap- beach. His elder brother and sister waited
pearance of breasts on young men, quoted a on customers at one of the several bars
plastic surgeon interviewed on the topic along the beach. Tião and a younger brother
who explained the boob-boom by pointing sold homemade popsicles to sunbathing
out that people care about their boys: tourists. They worked every day, from morn-
“There is no reason to let the kids suffer.”1 ing to early evening. After his working hours
Suzana, a 50-year-old civil servant and Tião would go to Roberto’s home. They
the person from whose point of view this would go out to the central avenue, where
story is partially told, couldn’t agree more: all the young tourists gathered to party at
“Why suffer when plastic surgery could night.
solve it?” Roberto was a middle-class boy who
It was a Friday afternoon and she just had hated going to school but was forced to by
time to get home from her weekly visit to his mother, Suzana, and his father. They told
the local hairdresser—buying bread, him repeatedly that if he didn’t finish school
cheese, and ham on her way. With its newly he would be nothing. Roberto saw his vaca-
highlighted strands, her now salt-and-pep- tions in Pilar as a kind of paradise on Earth:
per and golden hair was blow-dried and her no school, a beach, and an easy-going at-
fingernails were freshly painted red. Suzana mosphere quite different from the one he
announced that she was going to the bus experienced daily in the big city where he
station to pick up Tião. She asked Roberto, lived.
her youngest son, if he’d like to go with her.
Tião, the young man waiting at the bus sta-
tion, was 17—one year older than Roberto
Why suffer when plastic surgery
—and lived in Pilar, a small village on the
southeastern coast of Brazil, where Suzana’s could solve it?
family had a summer house.

Thaïs Machado-Borges Middle-Class Compassion and Man Boobs 1


So now Tião was coming to Roberto’s ac- an operation. It’s very complicated for a
tual home. Suzana explained to me that he young man to have this kind of problem, so
was not just coming to pay her son a visit. it’s good that one can do something about
Tião was going to have an operation. When it.”
I asked if it was something serious, she reas- “But what kind of operation is it?” I asked
sured me: Suzana. She replied that it was a simple op-
eration done with local anesthesia:
No, he’s just going to have his chest oper-
ated on. You see, he accumulates fat under The procedure doesn’t take too long, and
his breasts, so they’re getting bigger than afterwards you have to follow almost the
they should be. He was starting to feel em- same recommendations that women who
barrassed. I noticed last season, when we’d get a breast reduction do. You have your
meet him on the beach. It was so hot but chest covered with a bandage for a few
he was always wearing a T-shirt, and he weeks, and you can’t go around waving
was walking with his shoulders hunched your arms or carrying heavy things. There
forward and down, as if he wanted to hide are people who have to be operated on
something. I commented on that to twice. Sometimes the breasts reappear a
Roberto, who then told me that Tião was few years after the operation.
indeed very ashamed, because his flat
chest had developed what looked like the
breasts of a young teenage girl. When Diagnoses, Class, and Compassion
Roberto told me that, I went to talk to Tião
and explained to him that this was ab- Gynecomastia, or the excessive develop-
solutely common. I told him that both of ment of breasts in men, is the scientific
my sons had already had this problem. I name of what Tião was going to remedy
also told him not to worry, and I sat down through surgery. The breasts increase in size
with his parents to talk about an operation. either due to hormonal alterations causing
I really wanted to help them with that. an accumulation of fat tissue under the nip-
ple area, or due to the use of drugs and
I wondered then if this really was some- steroids. According to a Brazilian medical
thing common, or if Suzana was just trying website,2 most cases of gynecomastia hap-
to make Tião feel better about his body. pen during puberty. This site estimates that
Suzana told me, vehemently, “No, really, it’s up to 65 percent of male adolescents be-
very common. Both Roberto and Paulo [her tween 14 and 15 years of age present mani-
older son] have had the same problem. They festations of gynecomastia. This condition
were operated on when they were like 12 or tends to disappear naturally as the adoles-
13.” cents become older, and it is estimated that
Suzana’s husband reinforced his wife’s by the age of 17, only 7 percent of the male
evidence: “I’ve got two nephews who had population still presents signs of breast de-
the same problem and they both underwent velopment. These numbers increase again

2 anthropology NOW Volume 5 • Number 2 • September 2013


with aging. There are, still according to this
same site, different kinds of techniques for Every year, since the turn of the
operating on developed male breasts. The
21st century, around half a million
most common is liposuction.
Brazilians have undergone some
The information I found in scientific arti-
cles and in popular texts about gynecomas- kind of plastic surgery. Eighty
tia, or “man boobs,” in Brazilian print and percent of them are women.
digital publications raised interesting an-
thropological questions: What is considered
to be a normal male body when approxi-
mately 65 percent of male adolescents are the world. Brazilians are also one of the
said to present manifestations of gyneco- largest consumers of diet medicine in the
mastia? world.3 During the 1980s Brazil occupied a
One thing is clear: no matter how com- leading position in the development of cer-
mon gynecomastia might be, it is described tain cosmetic surgical techniques that con-
as unwanted and problematic—“the night- tinue to be practiced today. In fact, far from
mare of 65 percent of boys.” Normalcy, to being a recently established practice, Brazil-
repeat what other social scientists have ian cosmetic surgery has a history of more
stated, is not only a neutral description of a than 150 years. A Brazilian news magazine
common way of being, it is also a represen- estimated an increase of 580 percent in the
tation of an ideal and the endpoint of en- number of plastic surgeries in the country
couraged transformations. between 1990 and 2000.4 Every year, since
By establishing gynecomastia as a com- the turn of the 21st century, around half a
mon problem and by providing plastic sur- million Brazilians have undergone some
gery as an immediate solution to it, an ideal kind of plastic surgery. Eighty percent of
norm about how young Brazilian men them are women.5 Aesthetic preoccupations
should look is reinforced, even if in the neg- are also tucked into other medical practices:
ative form: men should not have breasts. The percentage of women who underwent
One can now wonder: how are these Caesarian sections in Brazil amounted to
practices of diagnosing and treating “deviat- 36.4 percent in 1996—one of the highest
ing” bodies linked to a Brazilian context of rates in the world. Elective Caesarian births
social inequality? are related to socioeconomic class, urban-
The preoccupation of Brazilians with the ity, cultural beliefs about birth, pain man-
body and physical appearance is remark- agement, and concerns about sexual func-
ably palpable and present in contemporary tion and appearance after birth.6 As a matter
everyday life. This preoccupation is not sim- of fact, Suzana has contributed to these sta-
ply the reflection, at a local level, of a tistics: In the course of her life to date, she
global fixation on bodies and beauty. Brazil, had undergone three planned C-sections,
at the end of the 1990s, was the fourth- an eyelid lift, permanent eyelid and eye-
largest consumer of cosmetic products in brow makeup, and uncountable diets.

Thaïs Machado-Borges Middle-Class Compassion and Man Boobs 3


Remember that all these practices take the diagnosis of gynecomastia because it
place in a country ranked among the top ten was going to be corrected through a prac-
in the world both when it comes to wealth tice that only privileged people (in terms of
and to unequal income distribution. Within class and in terms of social networks) could
this context of pervasive social inequality afford to have.
and urban insecurity, the body and its ap- Moreover, surgical technology is pre-
pearance are just the right arenas for estab- sented as an immediate solution to a physi-
lishing social hierarchies. Beauty, cleanli- cal problem. Situated within a Brazilian
ness, and other easily naturalized aspects context of social inequality, this immediacy
such as tastes, preferences, and feelings in receiving a treatment, in solving a prob-
work both as ways to maintain and increase lem, and in not “letting the kids suffer” is
social differences, and as means to assert also class bounded.
personal value and attain (or aspire to) cer- A class- and gender-inflected economy of
tain kinds of social visibility. compassion is crystallized in Suzana’s ac-
Indeed, if we return to Suzana’s initial di- tions and articulated by the plastic surgeon
agnosing of Tião’s problem, made at the quoted above. Of course, compassion is not
beach, under bright sunlight, we can clearly plucked out of thin air.
see interplay between gender and class is- Consider, for a moment, a snapshot of
sues. First, socioeconomic class is mani- the historical trajectory of the abnormal or
fested in the lack of versus access to knowl- physically deviant body. Brazilian medicine
edge: Not only did Suzana know what was in the colonial and post-colonial period
afflicting Tião (something she assumed his (18th, 19th, and early 20th centuries) was
parents did not know/did not notice—in heavily influenced by European trends and
Portuguese “nem sabiam direito” 7), but she ideologies. From being seen as a “monstros-
also had a medical name for this “condi- ity” in 18th- and 19th-century Europe and
tion.” Moreover, she knew how middle- and met with burlesque curiosity as a living
upper-middle-class people treated it, and spectacle of the bizarre, the abnormal body
she had the means to help Tião solve his was gradually being met, by the end of the
problem: surgery. 19th century, with another kind of feeling:
Surgical technology—used in this case to compassion. Scientific discoveries and liter-
treat gynecomastia—is associated with ary and aesthetic expressions were starting
modern, expensive practices and with par- by this time to emphasize the human (not
ticular kinds of consumers: wealthier young monstrous) character of abnormal bodies.
men. So Tião traveled from Pilar (a small, This trend was reinforced with the advent of
peripheral town) to Belo Horizonte (a big the two world wars and the number of muti-
city) to go through a surgical procedure that lated, injured, and deviating bodies of post-
is practiced among middle- and upper- war times.
middle-class young men (Suzana’s sons had Launched massively, an economy of com-
had it; her husband’s nephews had had it). passion encouraged individuals to recognize
Tião’s masculinity was not endangered by a person, a human being, or an equal be-

4 anthropology NOW Volume 5 • Number 2 • September 2013


yond physical deviance. Curious gazes once system, thus establishing “radical freedom
explicitly cast at these bodies were now for the elites, with no counterpart whatso-
considered signs of bad, inappropriate be- ever of equality for the rest of the excluded
havior. Only medical curiosity was deemed population” (Vaitsman, 2002:39, my trans-
acceptable. Deficiencies and disabilities lation).
were to be medically treated and compen- The excluded part of the population
sated for. The adequate bourgeois feeling to- could have access to institutions, privileges,
wards deviant bodies should be compas- or even the legal system only through medi-
sion, not curiosity (see Courtine 2006). ation—that is, through personal relation-
Compassion, following the work of other ships with people situated higher up in the
social scientists, derives from power rela- social hierarchy. Practices based on al-
tions between people occupying unequal liances—favors, symbolic kinship ties, and
social positions, and it works as a means to client-patron relationships—were and still
express and reinforce these very relations. It are mechanisms used to attain mediation.
has a micro-political capacity as it demar- Contemporary relationships between
cates borders and social groups.8 wealthier and poorer Brazilians are thus
Compassion should also be contextual- also established in contradictory terms:
ized here within a Brazilian historical set- avoidance and dependency; compassion
ting of social inequality. and contempt; affection and servility. Tião,
The most frequent way social scientists popsicle seller, son of Suzana’s house
synthesize structures, values, representa- helpers, becomes friends with Roberto,
tions, practices, and institutions of past and Suzana’s son. This friendship is allowed be-
present Brazilian society is through a cause Suzana sees Tião’s parents as honest
dilemma where universalism and equality and hard-working employees. This friend-
clash and fuse with particularism and hier- ship, moreover, increases Tião’s visibility as
archy. The heritage of Portuguese coloniza- a person in the eyes of Suzana and her fam-
tion (1500−1822) and of centuries of slave ily: He is no longer just a poor kid like so
traffic and slavery (abolished only in 1888) many others; he is Roberto’s friend. Com-
merged, during the process of the formation passion grows in this web of established
of a Brazilian nation in the 19th century, asymmetrical alliances.
with liberal ideas coming from Europe and Even when lazily sunbathing, glass of
the United States. ice-cold beer in hand, against the noisy
The country was thus caught in a struggle background of Brazilian pop music coming
between a universalistic system of ideas with from the loudspeakers of competing beach
formal rules and laws that should be appli- bars, Suzana answers to the calls of this in-
cable to all members of society and a set of herited economy of compassion and sees
unwritten, naturalized practices centered on Tião as someone in need of help: Even be-
personal relationships and hierarchies. fore it gets struck by the curious gaze of oth-
Liberalism’s institutional and legal appa- ers, Suzana dislocates Tião’s body from the
ratuses were introduced in a slavery-based hot beach sand and moves it to the air-

Thaïs Machado-Borges Middle-Class Compassion and Man Boobs 5


conditioned privacy of a clinic for cosmetic know, having those things. … I mean, I was
surgery. used to going bare-chested and I couldn’t
do that anymore. It was weird.” By affirming
his recent-but-now-past physical deviancy,
Once the Procedure Is Done … Tião is not only showing his awareness of
Pieces of Advice and mainstream ideals of masculinity in Brazil
Recommendations but also making sure that all those sitting
around the table understood that he stuck to
A few days after Tião arrived in Belo Hori- these ideals.
zonte, I invited Suzana’s family and Tião to Suzana’s rhetorical question can be inter-
my apartment for a lanchinho (an evening preted in the light of the previously men-
snack). Wearing a pair of shorts and a white tioned idea of an economy of compassion.
T-shirt, his pitch-dark hair newly washed, he As it was, her effort is recognized by Tião,
greeted me with a friendly smile. We talked who confirms through his answer that she
about several things, but not about the oper- was his benefactor and that her gesture
ation. Since he did not bring the subject up, made a change in his life.9 By helping Tião,
neither did I. However, a day or two later, I Suzana was also, in a sense, reinforcing and
was running some errands in Suzana’s maintaining her position as a middle-class
neighborhood and decided to say hello. I woman, a compassionate woman who
met Tião sitting at the dinner table with its chooses to help someone by giving him the
waxed tablecloth. He was bare-chested and chance to modify his body.
had a bandage around his chest. After one or two more weeks in the big
Tião was talkative, relaxed, and had a city, Tião was determined to start looking for
good appetite. He made himself a ham, a job. Suzana commented to me that she
cheese, and burger sandwich (Suzana’s had talked to Tião and explained to him that
evening meal specialty at the time) and he could stay and try to find a job. But he
topped the combination with batata-palha would also have to study: “Because if you
(finely grated fried potatoes). And he said to don’t study, Tião, you can’t progress. So, you
all of us who were sitting around the table: stay, work during the day, and study at night.
I will help you.”
Oh, God! I’m so relieved now that I’ve had Suzana would talk to Tião’s parents and
the procedure! I was nervous about it, but try to explain the situation. “You see,” she
it didn’t hurt at all. And now I just feel re- explained to me, “I like Tião almost as a
lieved. I’ll have to have this bandage on for son. I’ve known him since he was a little
a while, and then I’ll go back to the doctor boy. And I want to give him the opportunity
to get the stitches taken out.” to have a better life. A life different from the
one he lives in Pilar.” Tião’s access to a bet-
A beaming Suzana asked Tião if his trip ter life, a life with middle-class privileges, is
to Belo Horizonte was worthwhile. Tião an- not only facilitated, however, but also con-
swered, “Yes! I wasn’t feeling OK, you trolled by his middle-class pseudo-family.10

6 anthropology NOW Volume 5 • Number 2 • September 2013


As it turns out, Suzana did not hide her dis- bodies whose status invites or encourages
may when Tião came with a suggestion for a transformation and flight, and those that
possible job: “I talked to some men who constitute the desired direction or endpoint
load and unload groceries at the central of that flight. By transforming his body, Tião
market, and they told me I could try getting was adapting himself to mainstream ideals
a job there.” Probably postponing yet an- about masculinity. His breasted experience
other lecture on desirable aims and ambi- confused and embarrassed him: “I wasn’t
tions in life, she simply answered, “Yes … feeling OK, you know, having those things.
we’ll talk about work possibilities later on.” … I mean, I was used to going bare-chested,
When Suzana contacted Tião’s parents and I couldn’t do that anymore. It was
about his moving in with her family in Belo weird.”
Horizonte, the parents did not agree. Tião’s Tião’s case also shows, through the figure
father argued that the family still needed his of Suzana, how women participate in the
labor. A few days after his stitches were re- construction and “correction” of male bod-
moved, Tião was sitting on a bus, headed ies and masculinities.11 As we’ve seen,
unwillingly back to Pilar. Tião’s body is corrected through plastic sur-
Anchored to a context of social inequal- gery. This raises some questions left open for
ity, Tião’s story illustrates the centrality of debate: Are mothers, sisters, girlfriends, and
bodies and physical appearances in Brazil- female employers who came of age during
ian society. Beyond that, it shows how a the “Plastic Fantastic” era less reluctant to
compassionate action grown out of estab- recommend surgery to the boys they don’t
lished but asymmetric relationships gets re- want to see suffering? Is this pointing toward
formulated into a practice of diagnosing and a generational shift regarding attitudes to-
treating a “deviating body.” In times of wide ward men as consumers of plastic surgeries?
social inequalities and global anxieties Orchestrated by a middle-class fairy god-
about the body, Tião’s story of middle-class mother, Tião’s case maps and makes12 gen-
compassion and man boobs contributes to der and class ideals. His surgery did not
understanding some of the mechanisms transform him into a middle-class young
linking bodies, medical procedures, and so- man. However, by undergoing the proce-
cial hierarchies. dure, Tião experienced middle classness
By looking at the way cosmetic surgeries from up close.
sculpt bodies, one might be able to chart a Worlds apart from Pilar, he could get a
kind of map of social space, identifying taste of what Pilar’s summer tourists do
when they are not sunbathing at the beach:
after a few days in Belo Horizonte, Tião
Orchestrated by a middle-class started wearing his “Pilar clothes” (shorts,
sleeveless T-shirts, and flip-flops) only at
fairy godmother, Tião’s case maps
home and changed to a pair of jeans, a T-
and makes gender and class ideals.
shirt, and sneakers whenever he went out.
His contacts with Suzana’s family, with the

Thaïs Machado-Borges Middle-Class Compassion and Man Boobs 7


hospital staff, with the medical jargon, his 6. In: http://www.suite101.com/content/c-
physical transformation (and its making it section-rate-in-brazil-36-of-births-a172360, ac-
temporarily impossible for him to engage in cessed March 15, 2011.
physical work), and all the other experi- 7. The expression “nem sabiam direito” might
indicate that the parents hardly knew what was
ences he went through during his four-week
bothering their son or that they hardly noticed
stay in Belo Horizonte crystallize the inter-
that he was bothered. Its vagueness in meaning
play of bodily practices, compassion, gen-
might hide implicit middle-class understandings
der, class, and social inequality in contem- of poor working-class parents and their supposed
porary southeastern Brazil. lack of knowledge and lack of time and energy to
spend with their children. For a discussion on
class understandings of childhood in Brazil, see
Notes Donna Goldstein, Laughter out of Place. Race,
Class, Violence and Sexuality in a Rio Shanty-
1. FolhaOnline, March 21, 2011: http:// town (Berkeley: California University Press,
www1.folha.uol.com.br/folhateen/891667-ter 2003).
-peitinhos-e-o-pesadelo-de-65-dos,meninos-de 8. For more on compassion, emotions, and
-14-e-15-anos.shtml, accessed March 31, 2011. social inequalities, see Sandra Caponi, “A Lógica
2. In http://boasaude.uol.com.br, “Gineco- da compaixão,” Trans/Form/Ação, 1999, 21/22:
mastia,” accessed November 15, 2006. These de- 91–117 and Maria Claudia Coelho, “Narrativas
scriptions were corroborated by several websites da violência: A dimensão micropolítica das emo-
and articles on the topic. See, for instance: http:// ções,” Mana, 2010, 16(2): 265–285.
www.cirurgia-plastica.com/ginecomastia/; http:// 9. Courtine (2006:468, my translation) ob-
www.fitcorpus.com.br/?s-MjM-&p-Mg-&x-NDY serves how contemporary media, every once in a
-&c-GINECOMASTIA; http://cirurgiaplasticaelo. while, mount heavy celebrations of medicine’s
blogspot.com/2008/09/ginecomastia-cirurgia- all-embracing power by indulging viewers and
para-retirada-da.html; http://www.plasticamonte readers with the sighing feeling of Western com-
negro.com.br/cirurgias-plasticas/mamas/gineco passion toward bodies with various kinds of de-
mastia-mamas-masculina.htm; http://www.plas viations. As he puts it, “The South offers monsters
ticsurgery.org/Patients_and_Consumers/Proce and suffering, the North offers expertise and
dures/Cosmetic_Procedures/Breast_Reduction_ compassion, and Federal Express pays the (pa-
for_Men.html (for a North American site on the tient’s) return ticket.”
topic). 10. For a discussion on class, ethnicity, and
3. In: http://www.reuters.com/article/2007/03/ affection in the relationship between domestic
01/us-brazil-drugs-diet-idUSN012110702007 workers and their employers, see Mary Romero’s
0301, accessed March 28, 2011. “Life as the Maid’s Daughter: An Exploration of
4. Veja, January 17, 2001, no. 1683. “Brasil, the Everyday Boundaries of Race, Class, and
império do Bisturi.” Gender,” in M. Romero, P. Hondagneu-Sotelo,
5. SBCP and Data Folha, 2009. Cirurgia Plás- and V. Ortiz (eds.), 1997. Challenging Fronteras:
tica no Brasil. In http://www2.cirurgiaplastica Structuring Latinas and Latino Lives in the U.S.
.org.br/index.php?option=com_jforms&view= New York: Routledge, pp. 195–209.
form&id=1&Itemid=212, requested on Decem- 11. In an essay about the development of re-
ber 2010. search on masculinities, Connell and Messer-

8 anthropology NOW Volume 5 • Number 2 • September 2013


schmidt (2005:848) suggest that “[f]ocusing only lier (ed.), Dirt, Undress, and Difference: Critical
in the activities of men occludes the practices of Perspectives on the Body’s Surface. Bloomington
women in the construction of gender among and Indianapolis: Indiana University Press, 190–
men. As is well-known by life-history research, 212.
women are central in many of the processes con-
structing masculinities—as mothers; as school Vaitsman, J. 2002. “Desigualdades sociais e duas
mates; as girlfriends, sexual partners, and wives; formas de particularismo na sociedade brasi-
as workers in the gender division of labor, and so leira.” Cad. Saúde Pública, 18 (suplemento): 37–
forth.” 46.
12. I borrow this expression and reasoning
from Durham (2005:208), when she suggests that
the body is “a site of social making, and not just Thaïs Machado-Borges is an anthropologist and
mapping.” research fellow at the Institute of Latin American
Studies, Stockholm University, Sweden. She is
the author of Only for You! Brazilians and the Te-
References lenovela Flow (2003), and has written articles in
scholarly journals and popular magazines on
Connell, R. W., and J.W. Messerschmidt. 2005.
topics such as media and transgression, cosmetic
“Hegemonic Masculinity: Rethinking the Con-
surgery, and practices of body modification
cept.” Gender & Society, 19(6):829–859.
among Brazilian women. She is currently re-
searching the topic of garbage, social inequality,
Courtine, J. J. 2006. Déviances et Dangerosités.
In Corbin, A., J. J. Courtine, and G. Vigarello consumption, and citizenship among urban
(eds.). Histoire du Corps. Vol. 3. Les Mutations du women in southeastern Brazil. Her research on
Regard. Le XXe siècle. Paris: Seuil, 201–260. physical modifications in Brazil was financed by
the Swedish Research Council (Vetenskapsrådet).
Durham, D. 2005. Did You Bathe This Morning? She may be reached at thais.machadoborges@
Baths and Morality in Botswana. In A. Masque- lai.su.se

Thaïs Machado-Borges Middle-Class Compassion and Man Boobs 9

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