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1.
When a man is fucking a girls boobs in the direction of head to toe, and his balls rest on the bottom of her neck, forming a bow tie
He wanted to try something new so he changed direction, started titty-fucking, and gave her a cleveland bow tie
by Jordan M April 07, 2006
 
2.
A Cleveland Bowtie is accomplished when, after deficating, a man reverse-titty fucks a woman with his gluteus maximus riding up and down her neck. The result is a bowtie shaped stain of excrement on the woman's neck.
"Oh dude try to pull off a Cleveland Bowtie"

or

"That Cleveland Bowtie was perfectly executed."
"Yes, nice form."

or

"Oh! That was a quintessential Bowtie!"
by Ross Hanson March 07, 2008