Normal Activity
Move your mouse cursor over the two arrows to slide smiles left or right. Click on a smile to get its BBcode, then press Ctrl+C to copy it. Paste it into an appropriate place in a webpage, for example - a quick reply field on a forum. The smile images will reappear automatically, as soon as the focus of the text field with BBcode will go away.
Changing Options
To replace the default set of smiles, click on any image while holding Ctrl button and paste into the appeared field your custom path to the js file. To clear this setting, and get back to the default set, click on any smile while holding Shift and Ctrl together.
For now, sometimes you have to restart your browser, uninstall and reinstall the extension, or even to manage to delete extensions cookies to get options to work =/ Hopefully, it will be fixed in next versions..