You take a person's most marked physical feature. Compare it to genitalia – male, female or animal. And end with the suffix – bad, wipe or munch-um You could also add an option reference to excretion from any of the glorious openings offered by the human body.
Example: Your head looks like a lizard butt flap, you snot wipe.
-- Better Off Ted (The Impertinence of Communicationizing on 1/12/10)
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