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Paige Spear is a paramedical tattooist in Bowling Green, Kentucky, where she helps her customers use tattoo art to camouflage scars and vitiligo, and recreate areolas and nipples for customers who have undergone mastectomies. Spear isn’t performing medicine and she and her clients both understand the risks of tattooing on sensitive types of skin. Nevertheless, Spear says a new regulation from the Kentucky Department for Public Health (DPH) would be “devastating” both for her shop, THE STUDIO Tattoo Co.