Those boobs probably aren't heavy enough to cause back pain. I believe once they go that big they fill them with air. If you put saline or silicone in something that big, they'd drag the ground.
I think the big difference between this and a guy with tattoos is that the guy with tattoos doesn't have to go to a doctor to get his body permanently modified. I think it's seriously unethical for a doctor to perform procedures like this. For the person wanting the mods, it's just silly but understandable.
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“It is better to be rich and healthy than poor and sick” - Dave Barry
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