Sleeve tattoos are a collaboration between a tattoo artist and customer to demonstrate a personal and unified artistic theme. Other times, a sleeve is created when a person has many smaller tattoos on their arm and later has them connected with background tattooing to form a sleeve. Planned sleeves generally require many long hours of tattooing and can take weeks, months or years to complete.
Another tattoo alternative is henna-based tattoos, which generally contain no additives. Henna is a plant-derived substance which is painted on the skin, staining it a reddish-orange-to-brown color. Because of the semi-permanent nature of henna, they lack the realistic colors typical of decal temporary tattoos. Due to the time-consuming application process, it is a relatively poor option for children. Dermatological publications report that allergic reactions to natural henna are very rare and the product is generally considered safe for skin application. Serious problems can occur, however, from the use of henna with certain additives. The FDA and medical journals report that painted black henna temporary tattoos are especially dangerous. Black Henna or Pre-Mixed Henna Temporary Tattoos May Be Harmful - see below for safety information.
The word tattoo, or tattow in the 18th century, is a loanword from the Samoan word tatau, meaning "to strike". The Oxford English Dictionary gives the etymology of tattoo as "In 18th c. tattaow, tattow. From Polynesian (Samoan, Tahitian, Tongan, etc.) tatau. In Marquesan, tatu." Before the importation of the Polynesian word, the practice of tattooing had been described in the West as painting, scarring or staining.