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A man who thinks he's a woman, but mostly just wants to be called pretty and given snacks. Sometimes he's just a dirty old man in a dress who doesn't know the meaning of the word 'shut up.'
'He's a lady puff? He's just a guy who wears eyeliner and eats my leftovers.'
'I dated a lady puff who turned out to be a guy who only wanted my credit card info.'
'That man is a lady puff and he thinks he's going to get me to marry him by wearing a skirt.'