Start with what matters to you.
A theme is the subject or meaning behind your tattoo. A style is the way that idea is drawn. You can begin with either.
Bring your inspiration.
Nature, animals, meaningful words, personal symbols, characters or an abstract idea can all be starting points. Gather a few references and think about where you would like the tattoo and its approximate size.
Shape the idea with Sky.
You do not need to arrive with a finished design. Share the story and the visual direction you have in mind, then discuss a custom design with Sky.