Do your tattoos really extend that far? I thought you were badass enough with just rib tattoos, but a piece that includes your hips and your shoulder tattoo going all the way past your elbow, that is some serious time spent in a shop. Then there's the fact that ribs and elbows are supposed to hurt, if I didn't know better, I'd say we are dealing with a masochist.
As for the picture itself, I think this is one of your best self portraits. The pose is well done and you drew the face so well. It feels like a slight change from your usual style, but I'm liking it.