I was having the same problem and for some weird reason I rlly needed to know what that grotesque tattoo could possibly be? So I kept reading comments.

Another reader answered the question for me - posted that it looks like the Finger Lakes region of New York and after looking at a map of that region (and mentally flipping the tattoos in this revolting selfie to account for mirror image) there is no doubt. So my next thought was why in hell would someone like him he get a tattoo of that??

Then below that comment someone else added a link to a good story covering the recent bust of a large child sex trafficking ring in that same Finger Lakes area. It all seems to fit, sounds about right to me.