Dickensian bowtie

[Justin Bieber]

Where a person has (due to the misfortune of succumbing to [throat cancer]) a breathing hole put in the throat, which is then violated by an erect penis. This act causes the hole to bleed, and the attempted breathing of the recipient causes blood to spray in the formation of a bow tie on the neck. If the blood fails to make this pattern, [the penetrator] should attempt ejaculate in on the recipients neck to assure a bowtie is present. A Dickensian Bowtie is often (customarily in the Midlands of the UK) proceded by an [Intergallactic Mushroom slap].