Good question. It's a pic I stumbled across on a website months ago. The site had a random collection of some 20-odd pics, and this was one of them. I liked it so much (hard choice, as there are many I've seen that have blown me away) that I created an avatar out of it.

ruby and I both love the look of pierced nipples, and this woman's nipples look like prime territory for one, if not two barbells each (one horizontal, one vertical). If just a horizontal bar, then definitely something short and stubby, with thick beads on the ends. *drool*
FWIW, we're also Opearl fans, and she's got some incredibly deep, incredibly large pierces through her nipples. And I've seen a vid clip where she hangs weights from them. I know this isn't everyone's cuppa, so maybe I'll stop there.

Jim{ruby}
My ruby loves the look too. While she'd love to go mondo huge, she said she'd really like this look. Presumably to start.