Wow. I was peering through the comments, and my view on this artwork was completely off. Of course, self harm was on my mind, but when I say the title of the work, I instantly thought of plastic surgery. How people cut themselves up and sow and inject, which was what I thought fit the title. Because to some people, messing with natural beauty is destroying, but to others, it's just self improvement. But now that I've looked through the comments, I get where this art work is coming from.
It's a powerful image and technically excellent. I could come up with various ideas about the meaning of the image but they would probably all be wrong. You may be referring to self-harm, which is a complex subject little understood by most people. An image that helps them to a clearer understanding would be really valuable but I'm not sure that this image does that.
I'm sorry but,while I think it is technically excellent, I'm not sure what you are trying to achieve.