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Everyone expects at least some pain or discomfort when getting a tattoo. The amount of pain you feel will depend on several factors, including your individual pain tolerance and the location of the tattoo.

Fatty areas like the upper arms will likely hurt less than bonier parts of the body, like the hands, rib cage, or any joints. You’ll likely feel other sensations besides pain, such as tingling, itching, and pressure.

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This article will cover what getting a tattoo feels like, and when to see a doctor if your pain doesn’t subside following the procedure.

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After you’ve chosen a reputable tattoo artist, chosen where and what you want your tattoo to look like, and filled out consent forms, it’s time to get your tattoo. Generally, the procedure is as follows:

It’s no surprise that getting a tattoo often hurts. Getting one involves receiving many microwounds over a concentrated area of your body.

If your tattoo is particularly large or detailed, the pain can become intense again toward the end, when pain- and stress-dulling hormones called endorphins may begin to fade.

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A thin needle is piercing your skin, so you can expect at least a little pricking sensation. As the needle moves closer to the bone, it may feel like a painful vibration.

If you have more than one tattoo on different areas of your body, then you likely already know that where you get your tattoo has a lot to do with how much it hurts.

The ankles, shins and rib cage have thinner layers of skin covering bone. These areas are known to cause intense pain when getting tattooed because there’s not a lot of flesh to cushion the needle.

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Many people like the look of tattoos on their hands or feet, but because the skin is thinner and these parts contain many nerve endings, tattoos here can be quite painful.

The shoulders, biceps, and thighs are three places that rank relatively low on the tattoo pain scale. There’s more space between needle and bone and few nerve endings.

The back seems like it may be painful to tattoo, but the skin here is actually pretty thick and has few nerve endings. The pain level on the back is expected to be low to moderate.

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The forearms and calves have more fat on them, and both areas have few nerve endings. You can expect to experience low to moderate pain when getting either of these body parts tattooed.

In addition to where the tattoo is located on your body, there are several other factors that can influence how much pain and the type of pain you’ll feel.

Many people report that outlining is the most painful part of the tattoo process, so a tattoo with a larger outline may hurt more than a smaller tattoo done on the same part of your body.

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Additionally, for color tattoos, to get rich color, an artist may have to go over one area with the needle several times.

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If you already have one tattoo, you may have a higher pain threshold, making each subsequent tattoo hurt less. You may also be more prepared for the pain.

A study done on men found that stress and anxiety, which you may feel while getting a tattoo, can lower the body’s ability to modulate pain. This can make the tattoo feel worse than it would if you were less stressed.

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Try to take deep breaths during the procedure, and ask the artist to take breaks if you feel like the pain is overwhelming.

Your tattoo will likely hurt for at least a few days after the procedure. It may be extremely itchy, which is a sign of healing. It may feel like a sting or a sunburn.

However, if you begin to feel feverish, or your tattoo begins to swell or ooze pus, see your doctor. It could be a sign that you have a tattoo infection.

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Getting a tattoo is likely to hurt to at least some degree. The amount and type of pain will vary depending on several factors, including the location of the tattoo, the type of tattoo, your skin sensitivity, and your general pain tolerance.

While a tattoo may burn or sting even a week after the procedure, see your doctor if the pain is getting worse, or if your tattoo is oozing pus.

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Rachel is a board-certified dermatologist and Assistant Clinical Professor at Mount Sinai Hospital Department of Dermatology. She has contributed to , as well as Harpers Bazaar, Marie Claire, Allure, Vogue, and the New York Times, and more

Tattoos generally entail two phases: outlining and shading. Well, unless you're opting for simple script or symbols.Whether you're considering your first tattoo, or adding to an existing design, you're likely wondering what you should be preparing for, and how much pain you can (and will have to) tolerate with both outlining and shading. The answers might influencethe type of design you settle on.

Some tattoo artists have what one would call a light touch, which is an ideal trait in a tattoo artist, so long as the ink is placed deeply enough in the skin that it stays put. If your tattoo artist goes too deep into your skin, you may feel a more significant amount of pain. In the hands of an experienced, expert tattoo artist, you'll feel discomfort, but the pain should not be excruciating.

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Pain perceptions, tolerances,  and experiences vary widely, of course, but here's a general overview of outlining and shading, and the pain each typically causes.

Tattoo outlining is the first step of the tattoo process. This is where your artist draws your tattoo design onto the skin with the needle. If it'syour first tattoo, you might be in for a bit of a shock. Some people describe tattoo pain as a sharp razor blade cutting the skin. Others say theycan feel the needle going through the layers of the skin.

If you've decided you want a larger tattoo design, you're going to have to deal with a bigger outline. This is why small tattoos are a good first choice if you're not certain of how much pain you can tolerate.

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If you have your heart set on a grand-scale tattoo design, you may want to split your tattoo session into several smaller ones instead. Obviously, there are exceptions to this, such as if your tattoo artist is only in town for a limited time, or you've waited years for your appointment. But if you opt to get all the outlining done at one time, and add the shading or color later, your body will have time to heal—and you can take a much-needed break from the shock of the needles.

Contrary to what you might expect, many people report that the shading hurts significantly less than the outlining of the tattoo. If you've already made it through your line work, pat yourself on the back. You've likely conquered the most painful part already. You can do this!

That said, you should understand what is happening during the shading process. It's not the simple, single pass of an outline. Rather, your artist will be packing ink into your skin repeatedly, often for hours at a time, over the same area—which is why some people mistakenly expect it to be more uncomfortable than outlining. But remember: Outlining is very detailed, and your tattoo artist uses needles of a different size for the process. The level of pain you experience is a function of more than just repetition.

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Regardless, both parts of the tattoo process have their own positives and negatives. If you're getting your first tattoo, maybe stick to a manageable, medium-sized design. The pain isn't permanent, but the design is.

It's also a good idea to avoid the more painful tattoo locations, like the ribs, hands, feet, and knees—any location where the skin is thin, and bones are close to the surface.

Your first tattoo, you'll have a real understanding of how your body reacts to the process. Don't be surprised if you immediately get excited about adding more body art. It's actually pretty common. Likewise, you might stop there if you've decided tattoos (and the pain involved) just aren't for you.A defiant and transgressive act against the status quo, crude DIY tattoos have been taken up by the queer community as a proud symbol of their outsider status

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