When one cuts open their abdomen and allows a girl to give him head from the inside out.
Billy: Dude you intestines are showing.
Tommy: That's because Sally gave me a reverse Roxanne last night.
Billy: Awesome
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Now turned again to be gender-neural so it can mean a male who a girl finds sexy and attractive.
"Lordy, shorty you're a 10 and I wait for your drunk dials at 3:30 am, I love them" from Kitty Pryde's song "okay cupid" May 2012.
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