The tattoo 實力勇氣 The last two characters mean bravery. The second character means strength. The first one is a little difficult to translate, but it roughly means real, really, practical. In short: Practical/real strength comes from bravery. As for the tattoo being fishy on someone that age, I suspect it came after the rape. She was trying to reminder herself to push on. It was a symbol to remind herself to be brave.
There were a number of free floating elements which were held in place with straight lines. These were cut away after final cut was mounted on backing card stock.