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Punk Yourself Up - How to add tattoos and piercings in Photoshop. Maybe you're thinking about mutilating your own flesh, but you aren't sure what it's going to look like, or maybe you want to send your photo to friends and family and show them how tough you are, but you're a bit of a scaredy-cat. Whatever the reason, Photoshop can come in real handy for adding tattoos and piercings. The best thing is, of course, is that it's easy to do, cheaper and (relatively) pain-free.