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Traditionally, the hand-kiss was initiated by a woman, who offered her hand to a man to kiss.
A hand-kiss was considered a respectful way for gentleman to greet a lady.
Today, the hand-kiss is sometimes used as a romantic gesture, usually in parting and usually initiated by a man.
The hand-kiss is used quite prominently in The Godfather series, as a way to indicate the person who is the Don.
In a voice still fluttered by that Continental hand-kiss, the dear lady asked him: "If I wouldn't be taking you away from your swim, or exercise-well, would you like to come up to my place for a bite of lunch?
A hand-kiss is initiated by the person receiving the greeting by holding out their hand with the palm facing downward; or by the person giving the greeting, by extending a hand to grasp the recipient's hand.
Bright shineth the moon now, I see thy gown longer; And down by the hazels Joan meeteth her lad: But hard is thy palm, lass, and scarcely were stronger Wat's grip than thine hand-kiss that maketh me glad.