Another derogatory (and funny) nickname for old women. This comes from the fact that most old women apparently have short, permed hairdos, which are actually pretty dumb looking.
The damn perm-puff head in her Cadillac is driving to slow. I'm gonna be late for class AGAIN.
by smart ass July 14, 2005
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when you get head behind the super puff franchise
hailey:" did you hear someone got head behind the super puff"
emma: "SUPER PUFF HEAD"
sam: "whats that"
by head_standing_up May 30, 2023
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