Discomfort caused by secondary limb trapped beneath a corset
It is quite common for anthropomorphic creatures to have features that distinguish them as not fully human. As a result, they resort to items like body shapers and corsets, to hide the bulbous bellies, vestigial spines or other askew features. This sometimes includes additional elbows that cannot be hidden by simply folding arms inside their dress/shirt, so some remodelling is required.
Magic can be used to manipulate/remove these limb from sight, but some people can be understandably uptight about having body parts discombobulated, even if only temporarily.
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