The next step to a great tattoo design is to think about the symbolism of the tattoo. What thought, feeling, emotion to you want to symbolize? Do you want to show a life change that you have made, strength, power, and overcoming death? Whatever the mood, option, feeling or thought that you want to portray is there is probably some symbol that can be connected with it. For example a skull or even a pile of skulls might represent a near death experience. By thinking about the underlying thought or feeling you want to portray first you can then second find a design that works with that.
Now is the best part you can take some time once you have identified the location and the type of symbol you want to use in your tattoo and you can find other tattoos that fit those. It might be that you are looking for a skull tattoo design. So you find a bunch of other skull tattoos that others have gotten. You can then tweak it to fit your situation. Use your resources and either be a DIY, or a Do It Yourself type person and create your own tattoo or hand over the resources to a professional and have them design the tattoo for you.
Now is the best part you can take some time once you have identified the location and the type of symbol you want to use in your tattoo and you can find other tattoos that fit those. It might be that you are looking for a skull tattoo design. So you find a bunch of other skull tattoos that others have gotten. You can then tweak it to fit your situation. Use your resources and either be a DIY, or a Do It Yourself type person and create your own tattoo or hand over the resources to a professional and have them design the tattoo for you.