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Sweet babe
She has inverted pierced nipples. However, the piercings don't even pierce the nipples themselves (usually piercings go through the base of the nipples). But rather, the piercings go through the areola and obstruct the nipples.
You can see the barbell balls are in the position of the nipples and obstructing the nipples, making it look like metal balls have replaced the actual nipples.
Although normally inverted, the nipples actually can be stimulated enough to come out and get hard. But there are metal balls in front of them, and it's results in a really interesting situation to see like in image 19 and 28.
So it looks like instead of piercing the nipples to get them to come out and erect, the piercings force the nipples to stay put and don't allow them to come out. Stay inverted, nipples.