The painful process involves removing a layer of skin and flesh with a scalpel in the shape of your desired design – and then filling the design in with ink.
When the area heals over, the scar becomes an elaborate tattoo.
Body modification expert Yann Brenyak is pioneering this gruesome new trend, which he calls a “graphic skin portrait”.
Yann posts pictures on social media of his intricate designs, including portraits, skulls and asymmetrical patterns.
The Swiss-born London-based artist has over 15,000 followers on Instagram, all fans of his stomach-churning work but he insists that what he does is no worse than having a nose job or a face lift.