Integrate them into Armor/Clothing. So you also make sure, that it is seen while wearing something. This way you could also make them asymmetrical.
Or you make a special race: Breton | Tattooed, Orc | Tattooed, etc.
I've thought about that. Lyssia, however, summed up my issues with the aforementioned methods quite accurately. That just won't cut it, not for me anyway.
One option of introducing tattoos AFTER the chargen process would be via a body texture swapping script available through an in-game tattoo artist/vendor.
To ensure compatibility, vanilla BB textures/Westy's hi-res packs would be optimal.
Perhaps a similiar dialog could be initiated during character creation; also - I
believe this
could be done without resorting to the MWSE by using a slightly "mutated" version of the
Enablestatreviewmenu script. Still, I'll need to dig deeper to be sure.