Artist's comments, in case someone wants to translate and let us know what's the story behind this pic:

彼女が首筋のキスを嫌がる理由を、今日初めて知った。ルージュをひいてあげた。

facial surgery gone wrong...

O_O... the f***

Commentary:

I understood for the first time the reason why she dislikes getting a neck kiss. I applied lipstick on her lips.

He is a good fellow...

Feed me, Seymour!

Extraintrovert said:
Feed me, Seymour!

oh good I wasn't the only one that had the urge to say that

Oh you don't always die from tobaccooo~♪

"You ever get freaky with that thing?" - Quagmire.

I don't know, it reminds me of that villain from the Tick, Zipperneck.