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Tattoo

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For the unrelated Military music tattoo, a parade, see Edinburgh Military Tattoo.

A Tattoo is a design in ink or some other pigment, usually decorative or symbolic, placed permanently under the skin. In technical terms, tattooing is micro-pigment implantation. Tattoos are a type of body modification.

The word tattoo is usually traced to the Tahitian tatu or tatau, meaning to mark or strike (the latter referring to traditional methods of applying the designs). In Japanese the word used for traditional designs or those that are applied using traditional methods is irezumi ("insertion of ink"), while "tattoo" is used for non-Japanese designs.

Most tattoo enthusiasts refer to tattoos as tats, art or (art)work, and to tattooists as artists. This usage is gaining support, with mainstream art galleries holding exhibitions of tattoo designs and photographs of tattoos.

Tattoo designs that are mass produced and sold to tattoo artists and studios and displayed in shop are known as flash. Tattoo Flash is also the name of an American tattoo magazine.

Prevalence

Many celebrities, particularly in the music industry, wear tattoos, but there are many others who have tattoos but generally keep them covered. In some areas, tattoos have a largely negative image. This is particularly true in East Asian countries and regions, where tattoos are still generally associated with criminality in the public's mind; therefore those who choose to be tattooed in such countries usually keep their tattoos covered for fear of reprisal. For example, many businesses such as gyms, hot springs and recreational facilities in Japan still ban people with visible tattoos.

Many employers, especially in professional fields, look down on tattoos or regard them as contributing to an unprofessional appearance. Tattoos can therefore impair a wearer's career prospects, particularly when inked on places not typically covered by clothing, such as hands or neck.

It has been suggested that a majority of prisoners in US prisons have at least one tattoo. It is said that most triad members in Hong Kong have a tattoo of a black dragon on the left bicep and one of a white tiger on the right; in fact, many people in Hong Kong use "left a black dragon, right a white tiger" as a euphemism for a triad member. It is widely believed that one of the initiation rites in becoming a triad member is silently withstanding the pain of receiving a large tattoo in one sitting, usually performed in the traditional "hand-poked" style. Tattoos, particularly full traditional body suits, are still popularly associated with the yakuza (mafia) in Japan; in reality, however, many yakuza members are choosing not to be tattooed to avoid this very stigma.

History

Leopard on shoulder
Two abstract designs
File:Tattoo-back.jpg
A tattoo on the lower back, when worn by young women, is occasionally called a "tramp stamp" or "California license plate" in American slang.

Diversity

Tattooing has been a practice of almost every people. The Ainu, the indigenous people of Japan, wore facial tattoos. Tattooing was widespread among Polynesian peoples, and in the Philippines, Borneo, Samoa, Africa, Mesoamerica, Japan, and China. According to Robert Graves in his book The Greek Myths, tattooing was common amongst certain religious groups in the ancient Mediterranean world, which probably contributed to the prohibition of tattooing in Leviticus 19:28 in the Old Testament.

Tattooing in prehistoric times

Tattooing has been a Eurasian practice since Neolithic times. "Ötzi the Iceman", dated circa 3300 BC, exhibits therapeutic tattoos (small parallel dashes along lumbar and on the legs). Tarim Basin (West China, Xinjiang) revealed several tattooed mummies of a European physical type. Still relatively unknown (the only current publications in Western languages are those of J P. Mallory and V H. Mair, The Tarim Mummies, London, 2000), some of them could date from the end of the 2nd millennium before our era. Three tattooed mummies (c. 300 BC) were extracted from the permafrost of Altaï in second half of the 20th century (the Man of Payzyrk, during the 1940s; one female mummy and one male in Ukok plateau, during the 1990s). Their tattooing involved animal designs carried out in a curvilinear style. The Man of Pazyryk was also tattooed with dots lined up along the spinal column (lumbar region) and around the right ankle.

Tattooing in Chinese literature

Tattooing is also been featured prominently in one of the Four Classic Novels in Chinese literature, Water Margin, in which at least two of the 108 characters, Shi Jun and Yan Qing, are described as having tattoos covering nearly the whole of their bodies. In addition, Chinese legend has it that the mother of Yue Fei, the most famous general of the Song Dynasty, tattooed the words 精忠報國 (pinyin: jin zhong bao guo) on his back with her sewing needle before he left to join the army, reminding him to "repay his country with total loyalty".

The Water Margin had a major influence on tattooing in Japan. See irezumi.

Rediscovery in Europe

Europeans rediscovered tattooing during the exploration of the South Pacific under Captain James Cook in the 1770s. Sailors were particularly identified with tattoos in European culture until after World War I.

The electric tattoo machine

The modern electric tattoo machine is fundamentally the same machine invented by Samuel O'Reilly in 1891, which was based on an electric engraving pen invented by Thomas Edison.

Today

Tattoos are more popular now than at any time. Current estimates suggest one in seven or over 39 million people in North America have at least one tattoo.

Purpose

Religious theme

Today, people choose to be tattooed for cosmetic, religious and magical reasons, as well as as a symbol of belonging to or identification with particular groups (see Criminal tattoos). Some Maori males still choose to wear intricate moko on their faces. People have also been forcibly tattooed for a variety of reasons. The best known is the ka-tzetnik identification system for Jews in part of the concentration camps during the Holocaust.

European sailors were known to tattoo the crucifixion on their backs to prevent flogging as a punishment.

Tattoos are also placed on animals, though very rarely for decorative reasons. Pets, show animals, thoroughbred horses and livestock are sometimes tattooed with identification marks, and certain of their body parts (for example, noses) have also been tattooed to prevent sunburn. Such tattoos are performed by veterinarians and the animals are anaesthetized to prevent pain. (Branding would not be considered a tattoo since no ink or dye is inserted).

Procedure

File:Bear Flower Tattoo.jpg
A simple small tattoo

Some tribal cultures still create tattoos by cutting designs into the skin and rubbing the resulting wound with ink, ashes or other agents. This may be an adjunct to scarification. Some cultures create tattooed marks by "tapping" the ink into the skin using sharpened sticks or animal bones. Traditional Japanese tattoos (irezumi) are still "hand-poked," that is, the ink is inserted beneath the skin using non-electrical, hand-made and hand held tools with needles of sharpened bamboo or steel.

The most common method of tattooing in modern times is the electric tattoo machine. Ink is inserted into the skin via a group of needles that are soldered onto a bar, which is attached to an oscillating unit. The unit rapidly and repeatedly drives the needles in and out of the skin, usually 50 to 3,000 times a minute.

Permanent Cosmetics

Placing the color names on a color wheel helps the artist visualize the palette

See main article at permanent makeup

Permanent cosmetics are tattoos that enhance eyebrows, lips (liner or lipstick), eyes (shadow, mascara), and even moles, usually with natural colors as the designs are intended to resemble makeup.

"Natural" tattoos

According to George Orwell, workers in coal mines would wind up with characteristic tattoos owing to coal dust getting into wounds. This can also occur with substances like gunpowder. Similarly, a traumatic tattoo occurs when a substance such as asphalt is rubbed into a wound as the result of some kind of accident or trauma. These are particularly difficult to remove as they tend to be spread across several different layers of skin, and scarring or permanent discoloration is almost unavoidable depending on the location.

Temporary tattoos and Mehndi

Temporary tattoos are a type of body sticker, like a decal. They are generally applied to the skin using water to transfer the design to the surface of the skin. Temporary tattoos are easily removed with soap and water or oil-based creams, and are intended to last a few days.

The art known as Mehndi is common in Middle Eastern, North African and Asian countries (but particularly associated with India). This is the application of intricate patterns and designs on the hands and feet. The designs are usually hand drawn with henna: powdered henna is mixed with coffee or tea, lemon juice (to release the dye) and sugar (for consistency) into a paste which is then applied. The length of time the design will last depends on how long the paste is left on the skin. Most designs last up to two weeks, fading from a dark brown to a light orange before disappearing. So-called 'black henna', which is made by adding p-phenylenediamine (PPD) to natural henna, in order to achieve a black color, may cause allergic reactions. PPD is very unhealthy and has been known to cause burns[1].

Mehndi is traditionally applied onto the hands and feet of brides, but there exist traditions in Bangladesh, Kashmir and Sudan where bridegrooms also have Mehndi applied before wedding ceremonies. Mehndi has also become popular, particularly in the West, as a form of temporary body decoration with no symbolic meaning.

Tattoo Removal

Tattoos can be wholly or partially removed by cosmetic surgical techniques, most commonly through the use of lasers. The procedure can be expensive, and may not be entirely effective in leaving unblemished skin. Overall, green-based ink is the most difficult to remove. Some shades of black and many homemade tattoos cannot be removed.

Tattoo of an eagle

An old method of tattoo removal includes hydrogen peroxide loaded into a tattoo machine. The tattoo is retraced with the chemical.

A newer method of removal is by tattooing glycolic acid in to the skin with a tattoo machine, the acid pushes the ink to the surface of the skin in the scab, the scab is later removed. This is better than laser techniques, with less chance of scarring. Glycholic acid is also used for facial peels; when used for tattoo removal, a lower percentage mix is used.

Risks

Permanent tattooing of any form carries small risks, including of infection, allergy, disease, and stress or phobic reactions. Risk reduction in the body arts requires single use items including gloves and needles.

In most prisons there is a significant risk of illness due to tattooing being done without following universal precautions, including such blood-borne diseases as HIV and hepatitis. However there is a program underway in Canada as of the summer of 2005 that opens legitimized tattoo parlors in prison, this is intended to reduce the risk of infections and may also provide the inmates with a marketable talent. Inmates will be trained to staff and operate the tattoo parlors once six of them open successfully. [2]

In addition, it is important that cross contamination not occur, this is why many counties require that tattooists have bloodborne pathogen training as is provided through the Red Cross.

Diseases

Since tattoo instruments come in contact with blood and bodily fluids, diseases may be transmitted if the instruments are used on more than one person without being sterilized.

Most reputable tattoo shops use fresh disposable needles for each client and sterilize reusable instruments between clients using an autoclave. Universal precautions, such as washing the hands, wearing latex, nitrile or vinyl gloves and the thorough cleaning of counters and other work surfaces, and elimination of cross contamination.


Allergic reactions

Allergic reactions to tattoo pigments are uncommon except for certain brands of red and green. People who are sensitive or allergic to certain metals may react to pigments in the skin by becoming swollen and/or itchy, oozing of clear fluid called sebum is also common.

People with allergies should think carefully about getting a tattoo because of the risk of anaphylactic shock (hypersensitive reaction), which can be life threatening. Some tattoo artists do small test patches of pigments to be used allowing a week or two for the client to develop a negative reaction before proceeding with the actual tattoo.

Infection

Infection from tattooing in clean and modern tattoo studios is rare.

Infections include surface infections of the skin to Staphylococcus aureus infections that can cause cardiological damage, to sexually transmitted diseases, and some forms of hepatitis. People who have a compromised immune system, including those who have no spleen should consult a physician before getting a tattoo or body piercing.

The following precautions can also reduce the risk of infection. Shops should appear clean; sinks with hot water and soap should be available in the bathroom as well as in the studio; tattooists should wash their hands regularly and wear latex gloves; surfaces should be cleaned with disinfectant and floors should appear clean; proper procedures for sterilizing equipment should also be followed strictly.

The local department of health regulates tattoo studios in many jurisdictions, and should accept requests for records and violation histories of tattoo parlors.

Tattoos and MRI

There has been concern expressed about the interaction between magnetic resonance imaging (MRI) procedures and tattoo inks, some of which contain trace metals. Allegedly, the magnetic fields produced by MRI machines could interact with these metal particles, potentially causing burns or distortions in the image. The television show MythBusters tested the theory, and concluded that there is no risk of interaction between tattoo inks and MRI. In any case, today the majority of professional tattoos do not contain metal particles and therefore raise no concern for MRI or x-ray.

However, research by Shellock and Crues MR Safety and the American College of Radiology White Paper reports adverse reactions to MRI and tattoos in a very small number of cases. They also cite a well documented case Tattoo-Induced Skin Burn During MR Imaging by Wagle and Smith.

Deciding where to get a tattoo

See the sections under "Risks," above.

The studio must have all of the following:

  • biohazard containers for blood-stained objects
  • sharps containers for old needles
  • an autoclave is usually required by law but is not really needed if the items to be used have been presterilized elsewhere.
  • accessible facilities for washing the hands with hot water and soap

A reputable artist will:

  • be knowledgeable, courteous and helpful
  • refuse to tattoo minors, intoxicated people, or those incapable of consent due to mental defect.
  • ensure that the customer is satisfied with and sure about the design before applying it
  • be willing and able to answer questions
  • wash his or her hands with water and soap or an approved sanitizing agent, and wear latex gloves. Many artists will change gloves one or more times during longer sessions
  • always open new, sterile needle packages in front of the client, and always use new, sterile disposable instruments
  • always use properly sterilized non-disposable and disposable supplies
  • always use fresh ink for each session, placing small amounts in disposable containers which are used for one client only
  • provide clear aftercare instructions and products

Membership in professional organizations, or certificates of appreciation/achievement, may imply that the artist is aware of the latest trends in equipment and sterilization. However, many of the most notable tattooists do not belong to any association.

Aftercare

Tattoo artists have had to recommend a variety of products available from local drug stores. These products were intended to prevent cuts, burns, scrapes, and abrasions from becoming infected and not for the healing of new tattoos. The majority of these products contain petroleum or lanolin which, when applied to a new tattoo, can clog skin pores and actually retard the body's healing process. There is also the possibility of allergic reactions to these products, and, application to a new tattoo can cause skin reactions leading to loss of ink and permanent damage to a tattoo.

In the last few years, cosmetic and pharmaceutical aftercare products have been developed for the tattoo world. These products are safe, efficient, and dermatologically tested. Most tattoo artists recommend them and sell them.

New tattoos are wounds, which must be looked after properly. Immediately after completing the tattoo, most tattooists will cover the area to keep out dirt and keep the tattoo from oozing into clothes; sometimes the area is wrapped in clingfilm, paper towel, poultry packs (that come in chicken packs) or gauze. Some tattooists will recommend leaving the covering on for several hours or overnight, and then gently washing the area. Japanese soak the tattoo in hot water to clean it.

Other Uses

Tattooing is also used in managing wildlife and livestock. Animals are marked with symbols or alphanumeric characters for identification. Tattoos may be located anywhere on the animal's body including its ear (common for small mammals) or inner lip (bears).

Tattooing is also used as a form of cosmetic surgery, like permanent cosmetics, to hide or neutralise skin discolorations.

References

See also