When you take an atomic wedgie
to the next level and pull your victim's undergarments over their head, wrapping them up into a makeshift turban (like those commonly worn in the Islamic faith). This is an artform that takes a high level of craftsmanship to achieve; therefore it is reserved to the most elite group of Wedgie-Givers. If your victim loses circulation to their head, you know you're doing it right.
Bro, your exposed undies are so tempting I may have to give you an Islamic Wedgie if you do not adjust your pantalones to an appropriate height soon.