It is a process of removing a man's nipples or a woman's boobs through surgery, cutting that part in a circular motion, or clamping the blood vessel in that area, causing it to fall off. The patient often gets to choose which one of these procedires will be operated on them.

A person with an outwardly dominant, masculine, or aggressive personality, but who also enthusiastically takes on the submissive or "bottom" role in the bedroom.