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Its used only for special occasions. You must wear a top hat while receiving oral sex. Preferably you should have a mustache but its not mandatory. When you [blow your load] instead of busting in her eye like a jerk you trace around the eye like a gentleman(left eye or right eye [it doesn't matter]). After this the person looks as if they are wearing a monocle hence the name Baltimore Gentleman because i [believe that] gentleman in Baltimore wear Top Hats and Monocles.
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