Alexandra is very obsessed and attracted to extreme hour-glass figures, having desired such a body for a long time. She has gone through multiple surgeries and extreme body modifications to achieve her desired figure:
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Permanent nail-removal procedure, so that neither her fingernails nor toenails regrow after she has encased herself and transformed into a Bane.
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Alexandra is very obsessed with extremely fake breasts, this sort of extreme Bimbo-Barbie look. Over the years, she has gone through many breast enhancement surgeries, each time increasing the size of her implants. Eventually, she has reached extremely large XXL-Size breast implants, each one being over 4000cc. This results in an absolutely massive chest and breasts larger than the size of her head. For her transformation, Alexandra has at some point those implants removed and the space in her massive breasts is used for her new air supply and food supply.
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To even further increase the extreme hour-glass figure and her proportions, she has also hip and butt-implants, as well as her rib removal, resulting in an extreme hour-glass figure.
All of those surgeries done to Alexandra have been performed by Lumina.