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Yet, as in so many other areas of adornment, there was of course cross-cultural influences, such as those which existed between the Egyptians and Nubians, the Thracians and Greeks and the many cultures encountered by Roman soldiers during the expansion of the Roman Empire in the final centuries B.C. and the first centuries A.D. And, certainly, Polynesian culture is thought to have influenced Maori tattoos.
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.