Ganesha is a deity the represents a number of things. He is the remover of obstacles, patron and arts and sciences, and deva of intellect and wisdom. Portrayed here as a cutting, one could interpret this piece as Ganesha removing the obstacle, in this case the skin, to allow the person to become who they want to be, using the art of scarification as the method of their transformation. Richard Effin Ivey has been putting out a lot of cuttings with spiritual connotations, and each seems better than the last.
BME/News and Modblog highlight only a small fraction of what
Interesting to see how the details hold up once it has fully healed. Hope that a follow up photo is provided by the artist/recipient.