Appendix:Gestures/tongue out with hands beside head

Production

 * 1) Fully open both hands, with fingers fully spread.
 * 2) Place hands on either side of the head, with palms facing forwards and thumbs horizontal and touching or nearly touching the sides of the head immediately forward of the ears.
 * 3) Open mouth and extend tongue.
 * 4)  May be amplified by blowing a raspberry.

Usage notes
The vulgar use of this gesture communicates a greater degree of discontent or contempt than that indicated by the plain tongue out gesture, but one which is still not nearly as strong as that from the middle finger, reverse V-sign, and similar.