And if he went out he is exempt, but it is forbidden; this is the view of ר"מ, etc. -ואם יצא פטור אבל אסור דברי רבי מאיר
Summary:
It is not the usual for a man (or tailor) to carry a needle stuck in the garment, as opposed to a woman carrying a needle stuck into her garments, or for anyone carrying out food in their mouth, which are normal ways of carrying.
Anything which prevents soiling is not to be considered - כל אצולי טינוף לא קא חשיב
Summary:
If there is implied consent or willingness, even if it is for the purpose of אצולי טינוף, it is considered a valid consent and receives the appropriate consideration.