rackback is just as it sounds, a woman with boobs on her back. The most famous rackback was Thelsea, a 'freak' in the original Barnum circus. She only lasted two years and then had to leave due to the constant pestering by General Tom Thumb.
Now a days most rackbacks are created surgical, in fact it is the underground rackback industry that is credited with the recent quantum leap in artificial nipple technology. Rackbacks are a big deal in fringe Japanese porn, the most famous rackback movie translates roughly to “Having your caking and eating it too”, but a lot is lost in the translation. If I wasn't at work I'd post a picture for you.
thank god for the edit feature.....
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