One of my best friends, who is nearly 49yo, had her belly button pierced when her fiance died two years ago. She looks like she did two years ago, and she is nearly 50. I have a patient who is in her fifties who has tattoos all over. My opinion on her appearance is the same as my opinion of people with extensive tattoos in their teens or twenties. I wouldn't do it, and I think sends a message. When I was in medical school, I saw a patient whose boyfriend was so heavily tatttooed that it looked like he was wearing a shirt (a very odd looking, scary shirt). She, herself, wore a long sleeved shirt under her hospital gown to cover the scars from popping her veins from drug use, and when I was young, alot of people with lots of tattoos did it to cover that type of scar.