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A word used to describe something that is sickeningly adorable, cute, or charming. Examples of "cutesy-patootsie" objects are puppies, kittens, Pikachu, or young children---genearlly something fuzzy and cuddly.
Ugh, that little kid is so cutesy patootsie, it makes me sick.
I wish she would stop acting so cutesy patootsie, it's really getting to my nerves.
A woman with a sexy body but a delicately featured face.
She's got a hot body, but she's cutesy in the face. It's a mismatch.
When someone attempts to say something mean or insulting in a cute way so they can pass off their meanness as an attempt at humor or generally make their meanness seem less obvious or more acceptable to bystanders.
Erin: You sure like telling other people how to live their lives, Karen, oops I mean, Candace! (giggles obnoxiously at her intentional "mistake" and looks around to make sure others are sharing in her "joke")
Candace: For the tenth time, we're in the middle of a global pandemic, and management requires that all shoppers wear masks. If you don't want to do that, just take your cutesy-mean act to another store. There are other customers in line, here!
part of the woman’s vagina (pussy, clit, camel toe, etc)
You have a nice looking cutesie patootsie