In Britain, there is evidence of women with tattoos, concealed by their clothing, throughout the 20th century, and records of women tattooists such as Jessie Knight from the 1920s. A study of "at-risk" (as defined by school absenteeism and truancy) adolescent girls showed a positive correlation between body modification and negative feelings towards the body and low self-esteem; however, the study also demonstrated that a strong motive for body modification is the search for "self and attempts to attain mastery and control over the body in an age of increasing alienation". The prevalence of women in the tattoo industry in the 21st century, along with larger numbers of women bearing tattoos, appears to be changing negative perceptions.
A well-known example is the Nazi practice of forcibly tattooing Nazi concentration camp inmates with identification numbers during The Holocaust as part of the Nazis' identification system, beginning in fall 1941. The Nazis' SS introduced the practice at Auschwitz concentration camp in order to identify the bodies of registered prisoners in the concentration camps. During registration, the Nazis would pierce the outlines of the serial-number digits onto the prisoners' arms. Of the Nazi concentration camps, only Auschwitz put tattoos on inmates. The tattoo was the prisoner's camp number, sometimes with a special symbol added: some Jews had a triangle, and Romani had the letter "Z" (from German Zigeuner for "Gypsy"). In May 1944, the Jewish men received the letters "A" or "B" to indicate particular series of numbers.
Getting a tattoo, although a permanent decision regardless, can yield all sorts of different results as the years go by. Some of the tattoos that look coolest in the short-term may end up changing drastically over time. And this can be really frustrating if you weren't prepared. Luckily, there are some tattoos that look better with age, and tattoo artists know exactly what they are.
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Before getting a tattoo, make sure you have had all your immunizations (especially hepatitis B and tetanus shots). If you have a medical problem such as heart disease, allergies, diabetes, skin problems like eczema or psoriasis, a weakened immune system, or a bleeding problem, talk to your doctor before getting a tattoo. Also, if you get keloids (an overgrowth of scar tissue) you should probably not get a tattoo.
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While tattoos are considered permanent, it is sometimes possible to remove them, fully or partially, with laser treatments. Typically, black and some colored inks can be removed more completely than inks of other colors. The expense and pain associated with removing tattoos are typically greater than the expense and pain associated with applying them. Pre-laser tattoo removal methods include dermabrasion, salabrasion (scrubbing the skin with salt), cryosurgery and excision—which is sometimes still used along with skin grafts for larger tattoos. These older methods, however, have been nearly completely replaced by laser removal treatment options.
The American Academy of Dermatology distinguishes five types of tattoos: traumatic tattoos, also called "natural tattoos", that result from injuries, especially asphalt from road injuries or pencil lead; amateur tattoos; professional tattoos, both via traditional methods and modern tattoo machines; cosmetic tattoos, also known as "permanent makeup"; and medical tattoos.