For tattoo designs I usually ]first sketch out various designs and options on paper. Then I work closely with the customer over video calls to really hone in on what they want out of the tattoo. From there I finalize the chosen design in Photoshop or Illustrator and we once again go through the process of making sure everything is perfect. When everything is said and done, I email the image in the desired format and provide the RGB codes for the tattoo artist to reference.
Note: I only take payment through Paypal Invoices as my bank is not supported by this website.