Anyone know what this means?

I've been on facebook on Tony Stark's page, and some others, and I always see this meme on weird stuff.

https://sphotos-b-ord.xx.fbcdn.net/hphotos-frc3/971164_10201218656779907_1128670053_n.jpg
Although I wish I didn't know, the source of the expression is a gay manga titled Kuso Miso Technique (left in half-Japanese, since the properly translated title is somewhat disgusting). It's most notorious for the style the author chose for the facial expressions, such that you can see them completely out of context, as in that picture, and still recognize them.
Uh...

Well what does it mean?
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