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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.
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part of the woman’s vagina (pussy, clit, camel toe, etc)
You have a nice looking cutesie patootsie