I ventured into the comments and established a timeline. This thing was born a female, became an obeast as she matured and then decided to transition into a "male", the result of which is what you see. Its leprosy looking gangrene "breasts" appear to be decomposing while still attached. For the record, this genderless, inhuman creature had its "breasts" removed in an effort to more closely resemble a humanoid male. Here's a disturbing comment chain that I found  SilenceArtwork: ‏gratz!!! how are you healing friend? How are you feeling? I see they didnt put any draining pumps in? (or did you take them out already) hope you are feeling so much better! ⭕️ Johnny, The Trans Juggernaut  🏳️‍🌈: (the creature in OP) No drains! My doc doesn’t use them, and I’m so grateful lol My throat is sore ‘cause they intubated me on the table, and I have to move like C-3PO, but otherwise I’m good as hell. It’s amazing. I look in the mirror and I feel fucking whole for the first time in my life If you’re ever given the chance, I definitely recommend @dr_sgallagher - she’s freaking amazing, and so kind, and does good work on big boys, and NO DRAAAAAAIIIINNNNSSSS  It's talking about a procedure where pumps are attached to the removed "breast" site, since fluid begins to build up and leak out of the gaping wounds created and then sown up by this operation. The creature is recommending another Twitter user who "does good work on big boys" concerning this type of procedure