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When one's bra strap(s) are pulled up through the neck hole of the shirt to some extraordinary, painful and embarrassing degree.
I saw this demonstrated on some Extreme Home Video trash show. One woman got anothers straps past her ears.
So, I'd imagine an atomic bra wedgie would likely be hung from the ears, or across the neck (choking hazard).
I have yet to ask my girlfriend about the technical breast implications of such a stunt.

"She sexually assaulted me, and my bra is exposed!!".

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