You could see clear photoshopping around her nipples in one of the older, post surgery, image sets and stitches in one of the most recent ones.
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RubyDroplets commented
The music videos, the rate shes posting, and how her tits are smaller again all point to her posting vids and sets she muatve made ages ago. I dont know why everyone is assuming this is content she is making right now on the fly.
Also self image is a weird thing. There are a lot of very attractive people who do things because they either don't find themselves attractive or they believe other people don't find a part of them attractive. It's not always grounded in reality.