With the usual accessories, it would seem!
Images in this set were composed, staged, & captured using resources available in Second Life, created by Linden Labs. Virtual wardrobe & props were purchased fairly & honestly using in-world currency (having a value of approximately 10 USD = 2450 L$). By the terms of the SL virtual world all objects worn by or attached to the avatars are owned (or designed) by the avatars' "real life" counterparts.
(Of course, all SL avatars in this pic represent adults over the age of 21 "real-life" years ... but you knew that already!)