Any surgery carries risk, and requires appropriate consideration.

Let's take breast augmentation as an example. There are some folks who will choose to do so because it will help them match their gender, and that makes a lot of sense for their mental well being. There are some folks who have had a mastectomy, and an augmentation (and in many cases a tattooed nipple to finish things off) will help for their mental well being. These are generally one-time surgeries with a clear beneficial outcome.

There are others who will continually go larger and larger and larger, and its actually detrimental to their health and well being, they are often doing so because of other issues of their self image or self worth, and the surgery will never be enough for them. Its even been shown to make those perceptions of their bodies worse, which is why they end up getting surgery over and over again.

My concern here is whether or not he fits in the first group or the second. I sincerely hope he does not have an internal struggle that will drive him to many surgeries, never addressing the actual issue, and making things worse for himself over time.

How it looks is irrelevant to me, if he likes it more power to him. I think his tattoos are incredible, personally.

I just hope he's OK.