“I’ve been fantasizing about smoking cigarettes and It’ll be great when I can do everything for myself again," Sasha said. His surgeon explicitly warned that if he smoked real cigarettes before his reconstructed nipples were healed, they would fall off. Here, he smokes an herbal cigarette on Nov. 15, 2020, at Stephens Lake Park in Columbia, Missouri at dusk. Sasha was unable to run, exercise or spend long periods of time in the sun for a few months after the operation.