Red Heart With Pricking Nails Tattoo

Yet another red heart tat, not broken, this time with pricking nails, that’s what we can presume! It’s a Tim Burton voodoo girl heart tattoo done by Gary at Bodyline in Glasgow. Would love to ask the tattooist or the tattoo freak wearing the tat as to what’s the significance of pricking pins? Does it mean hurt and pain in the heart? Whatever be the reason or