use strict;
my $str = '<div class="avatar avatar-32 clear-both" style="display: none;"><img width="32" height="32" src="http://i.stack.imgur.com/xBOdsdp.jpg?s=128&g=5&g&s=3" alt="Johny" title="Johny" style="border: 0;"><div></div></div>
<div class="avatar avatar-32 clear-both" style="display: none;"><img width="32" height="32" src="http://i.stack.imgur.com/xBOdsdp.jpg?s=128&g=5&g&s=3" style="border: 0;" alt="Johny" title="Johny"><div></div></div>
<div class="avatar avatar-32 clear-both" style="display: none;"><img width="32" height="32" src="http://i.stack.imgur.com/xBOdsdp.jpg?s=128&g=5&g&s=3" alt="Johny" title="Johny"><div></div></div>';
my $regex = qr/<img.*?\K( style="[^"]+")(?=[^>]*>)/mp;
my $subst = '++';
my $result = $str =~ s/$regex/$subst/rg;
print "The result of the substitution is' $result\n";
Please keep in mind that these code samples are automatically generated and are not guaranteed to work. If you find any syntax errors, feel free to submit a bug report. For a full regex reference for Perl, please visit: http://perldoc.perl.org/perlre.html