We all know what REALLY happens, from watching all those Schlitz malt liquor TV ads when we were kids (such as http://www.youtube.com/watch?v=pS2RAc4Cu8U).
In my day (I'm 36) this would have been merely the scribblings of a bored schoolboy on a foldout paper book cover. Now you can achieve fortune and serious artistic fame for doing the same in a gallery. Yet another indication of how unserious and unskilled modern art has become.
This reminds me of one time when I was a kid and we went to summer camp, and we went for a ride on this really neat canoe. Now I had never been on a canoe, but it was a confidence-building exercise. Then we saw this rabid rabbit swimming towards us...
Who cares what her answers were? All I noticed was her cute face. As long as she marries and reproduces with a really smart guy (i.e. a nerd) then all will be balanced out.
I'm of two minds about people like this. On one level they are apparently mentally ill. On the other hand, they're not hurting anyone, and life is short so why not enjoy it while you can. I think the self-abuse/mutilation is what bothers other people more than the adornment.