She removed her nipples? or do they attach them in a different surgery?

It always makes me sad to see girls with mastectomies that obviously have an eating disorder or self harm scars.

I haven't had a mastectomy, but I've had a breast reduction with removing my nipples to he sized down accordingly; it was done in the same surgery.

Maybe they're opting to have cosmetic tattooing to recreate more male nipples?