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When someone with a smelly uncircumcised penis wipes it across the uper lip of an unsuspecting victim (or suspecting) causing them to sm..
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Before having sex, one eats a shit load of fruity pebbles. During sex. you induce vomiting on her chest to mimic a bill cosby sweater.
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A very LONG outy belly button.
The Nantucket navel is caused by the Doctor, probably old and can't see too well, who cuts the umbi..