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She picked up a photo that she kept on the windowsill above her bed and held it out as proof. Quispe, an Ecuadorean immigrant who came to New York at age 9, was determined to get the curves that would make her look more feminine. So she tried something else: she went to a so-called pumper, a person who illegally injects silicone to modify the body. For her first injections, she said, she went to the Upper East Side, to an apartment with a view of the East River. When she slid off the makeshift surgical table, she saw bright red drops of blood staining the white sheet.
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