"Vertical Landscape" by Eiko Ojala. It looks like a paper landscape but the artist actually works digitally and hand-draws all the elements to look like they're cut out of people. (Hint: the shadows help!
Make certain you check the significance of the tattoo and have the tattoo created by a certified expert artist. Hence, it’s not surprising that flower tattoos have been in use almost so long as body art has been around.