I think the original caption had the fellow expressing dismay at her nipplectomy.

The signature is perplexing; "Moaiss" doesn't seem to be any sort of name a person would have. Maybe it's supposed to be upside down - you know, S. Seaow or something. It looks as if it's obscure by intention, and meant something to the artist.

Like, "keep your reputation clean by working under another name."