Can I use this sign to describe a skinny person?
This specific sign—using 'G' handshapes pulled apart horizontally—is generally used for thin objects, layers, or materials. To describe a thin person, ASL typically uses a different sign where 'I' handshapes (extended pinkies) move vertically apart from each other.
Why is the facial expression necessary for this sign?
In ASL, facial expressions are called non-manual markers (NMMs) and they function as grammar. Sucking in your cheeks is the specific NMM used to convey that something is thin, small, or narrow. Without it, the sign feels incomplete to fluent signers.
How far apart should I pull my hands?
The distance you pull your hands apart depends on what you are describing! If you are talking about a long, thin wire, you can pull your hands further apart to show its length. For a small, thin slice, a shorter movement is appropriate.