The video shows a person's hands as they tattoo a skull onto a piece of skin. The tattoo artist is using a tattoo machine to ink the design, which is a black and white skull with a rose on the side. The artist's hands are gloved, and the tattoo machine is held with a steady grip. The skin being tattooed is stretched out to provide a smooth surface for the design. The video captures the intricate details of the tattoo, including the shading and contouring of the skull and the delicate lines of the rose.