A Cinncinati Bowtie is a hospitalizable and perhaps fatal sex act involving one sexual partner prolapsing their anus, cutting it out, stretching it, and then tying it around another's neck.
Tom: Never go shopping in Ohio!
Leo: Why?
T: You might find yourself on the receiving end of a Cincinnati Bowtie!!!
L: I think I'm going to vomit.
Was working the afternoon shift at the Happy Acres Home when Mrs. Norman in B12 was gasping and pointing to her mouth; I knew immediately that she wanted a Cincinnati bowtie.
the term for inserting your penis into a females neck, who has a tracheotomy, and as you start going at it harder she begins to bleed, with blood squirting out on each side resembling a bowtie.
When a female or male has throat cancer and gets a breathing hole in the neck. Another male penetrates that hole with his penis. The rapid penetration causes the hole to bleed while the person is trying to breath out of the hole, causing the blood to spray in the formation of a bow tie. Made famous in the movie "40 Year old Virgin".
Mooj: It's not about these rusty trombones, and these dirty sanchez.