As he struggles with the smoke filling his lungs, he doesn't notice the changes that are happening to him.
The black studs in his ears become large 25mm black plugs with smaller 10mm plugs immediately next to them, a large gauge septum appears in nose.
As he coughs you can see that he a row of three steel balls in his tongue that are attached to thick barbells and a lip piercing
You cant see what has happend below the neck, but you know the changes are not finished.
He turns to you asks you for a cigarette...