Miranda left 99% of the design up to me. :) She wanted a female, in tree form. Also a couple of birds, but the rest was all mine. After a slew of blue pencil sketches and getting closer to what I envisioned, I finally got it down. 9 hours over 3 sessions and voila!
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The hummingbird on her collar bone was a pre-existing tattoo, just a simple outline of a bird with a red heart. I adjusted it to match her arm piece.
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The second-to-last sketch:
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The final sketch (minus the reworked bird and wildflowers on the bottom left):