When a man cleveland steamers just above a woman's breasts (takes a giant poop) and then proceeds to sit down on the dump and spread it out with his buttcheeks...resulting in a bow-tie shaped poop stain on the woman. Make sure to have clorox wipes available immediately after the smear to clean your ass with. More than likely you won't have those wipes with you because if you are sick enough to do this, you don't worry about cleanliness
Girl: What's this poop smear on my chest hunny?
Guy: YOU JUST GOT CINCINNATTI BOWTIED BITCH!