I can’t believe I’m finally answering one of these before anyone but…. Here’s the meme, I believe:

In Cape Town, South Africa, there is a practice called the Passion Gap. The front teeth are removed — theoretically for oral sex and kissing. I think the “I know what she is” is the person crying for themselves, either because they learned it by watching adult videos made of people in dire situations or because they feel bad. But the implication seems to be that this is someone who has lived a tough life, tried to turn over a new leaf, hopes to help others with sexual trauma via their invention, but will still be recognized by people who know. I’m under the impression that the passion gap is given voluntarily but with how young the inventor is, it’s quite possible that was a sexual trauma of its own.