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Taking this further, choking from the front like this is the most dangerous way to play. Choking from one side of the neck leave the other side free. There are nerves and air passages that are very easy to crush. This is a cute picture but it doesn’t even BEGIN to address how to do safe breath play. I do breath play a lot but I don’t feel qualified in writing up a How To on breath play because it’s super easy to fuck it up.
Breath play is EDGY, DANGEROUS and PEOPLE DIE. PLEASE DO NOT do it with only the information on this picture. Do some research. Study anatomy. And see if there are any kinky breath play classes near you with a trusted instructor.