When annoyed, agitated or just messin wit someone who is on thier way to annoying you, it siply means "eff-off"
John: Hey Cathy What you wanna do tonight?
Cathy: Go away I don'e LIKE you.
John: You know what forget you.
Cathy: Fine then, Suck my left butt- cheek!
by Rara isbooyaa May 3, 2007
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