American Traditional, Japanese Traditional, black-and-grey, and lettering specialties have anchored the book at this Fifth Avenue tattoo gallery since it opened in 2009, with walk-in consultations welcomed alongside scheduled custom commissions. Guests set on styles outside those four specialties — fine-line, watercolor, or single-needle micro-realism — are given recommendations toward other Hillcrest studios including Sacred Tiger Tattoo rather than steered into work the in-house artists don’t practice. Body piercing with ear, nose, and cartilage jewelry is stocked on-site for same-appointment installation after walk-in consultations. Aftercare protocols include a documented wrap-cleanse-moisturize sequence over the first two weeks to prevent scabbing and color loss on fresh work. Laser removal of old, unwanted, or poorly healed tattoos is referred to cosmetic dermatology at Erick A. Mafong, MD rather than handled in-house with pigment-breaking devices. The shop’s most involved project is a full Japanese back piece — multi-artist session planning, outlining, shading, and color work staged over nine to eighteen months of bi-weekly appointments for coherent composition across a single large canvas.