That looks photoshopped. Not that I don't believe that someone would do that to themselves, but if the area's still that red, the tattoo is not going to look like that.
I doubt that it is because the collection of images is from a book that was published and the pictures all say the artist and shop they are credited to. If you look at the other ones this one is probably the most tame with the worst probably being this one. . .
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*~*The Brotherhood of Man and the Alleviation of the World's Pain*~*
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