As problematic as it sounds, it's considered an insult used to emasculate a man by communicating ... the buono gesture to a specific origin point, it's likely the same as other Italian gesticulations.

I was eating gelato when I learned that some of these gestures actually mean something: A new friend twisted their index finger into their cheek while saying “che buono!” meaning “It’s so ...

Vinicio Riva, an Italian man who suffered from a rare condition ... while greeting pilgrims in St. Peter’s Square in a vivid gesture of love for people suffering from medical conditions.