And... yes, I do have her permission to post this family secret of hers. :)
First: Streeeetch out your lips and cheeks. Very Important!

Second: Insert thumbs in upper cheek region and hold carefully.

Third: Take index fingers(pointy fingers for you kids out there) and place under your eyes, pulling down slightly, but just enough to make a sideways butt-cheek on each side of your face.

Fourth: Use your pinky's on each hand to carefully push up your nose just above each nostril. Be careful not insert them into your nose, that's gross!

Fifth and Final Step: Stick your tongue out for all to see. There, that wasn't so hard. Thanks Aunt Kristin for your help!

PS. She didn't know I was snapping pictures using Skype today. She got a big laugh after I sent her copies of what I was doing.
