A descriptor to signify that the person indicated is a total loser, sociopath, small-handed cretin. Only used to describe the worst of the worst: think Stalin, Vlad the Impaler, and Tomi Lahren.
I don't want you playing with my pussy like it's a violin or a flute, I want you to get in there and eat it like a buffet. That's what the Zozo appointment is for.