She wants to get devil horn implants on her head.
Miley Cyrus is bored with being naked all the time and would like to have silicone devil horns surgically added to her head. A "friend" told In Touch that "she's leaning toward" this idea. Most of the prominent hosting gigs like the VMAs go to stars without devil horns these days, but perhaps she knows something we don't. Or perhaps her "friend" got tired of donating plasma and is leaking fake stories for money now.
Here's some quick knowledge on extreme body modification of the horn variety: If they're implanted below the skin, they look more like nubs or pinballs in your forehead. For actual horns growing out of your skull, the process requires anchors or bases added to your head, and then you screw the horns on. Perhaps she should just get another tattoo, or somehow find a way to get more naked on the internet.