The visitor in this case is a slave of Mistress Vixen's that travelled all the way from the states to see her. The video has lots and lots of needles pushed through nipples and gut to make pretty patterns. As Mistress Vixen causes the pain note the scaring on the slaves body where she has scarified him in the past. When Mistress Vixen has finished his balls are pinned to a board by needles and her has a heart of needles in his body. Mistress Vixen smokes and blows the exhaust fumes into his face.