Do you know why a gentleman held his cigarette aloft in a manner some might now term effeminate?
A gentleman would hold his cigarette between two fingers, his hand held aloft, to avoid annoying his company with the lingering smoke drifting into the parties faces. Lifting the cigarette away from himself also helped avoid lingering smoke odor on his clothing and fingertips. As he exhaled, he would tilt his head back while unobtrusively releasing the smoke into the airspace above the party, so as not to 'contaminate' the atmosphere. Drama queens would do likewise, but with great flourish and extravagant gestures.
That's a load of crap.