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I still have no idea what she was doing in the bathroom. I want to say it was a BJ but all we got was saliva coming out of her mouth which compared to the other BJs the artist has done she'd have a little more saliva or more than just saliva. Also the part after shows her outfit is fine so it can't be a titjob either. I guess I might be answering my own question, she probably just gave him another handjob and he was only feeling her tits through her outfit.
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She jerked off the Grandpa and Yuki's dad, got a facial from them. Possibly two blowjobs from the only pictures that hide her lips. They show happened in the hospital, you can see her breast getting sucked and licked in the pics just like on page 44. Don't know about the peace sign, it might relate to the omake.