[SR Note: I have no idea if something like this would even have a place on my back piece or not. However, I do think it is a very cool samurai hoshi-bachi kabuki and skull. I'm open to having a discussion.
Vogue is a fashion magazine and mostly everyone on the cover is someone very famous, likable, and beautiful. This is representing how skinny is supposed to be "in". Its ironic because the skinny girl is dead because she is so skinny