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.
It's probably because the photo conjures up so much, and at the same time it hits the nail on the head so perfectly, that most probably feel if they were to express something, it would probably be an opinion overly-leaning with bias one way or the other.