A tiara design is simply a picture of a real looking diamond studded tiara. I always believe that an image as strong as a tiara speaks for itself. The delicacy and the femininity it symbolizes is so beautiful, that it is better to keep it untouched by any tattoo wording, letters, or messages. It is not necessary that all my readers have the same point of view. So, you may add symbols, letters, names, or messages below a tiara tattoo to make it one of those more meaningful tattoos.