I have a much larger Becker s Nevus that covers my entire left shoulder. I also have the same desire to tattoo over it as it is unsightly. I recently met with a dermatologist, who was the first person to tell me that it was a Becker s mole - I m 27 - and I asked her about tattooing over it. She said that there really shouldn t be any problem. Yes, generally you do not want to get tattoos over moles as you can t determine any changes in pigmentation (obviously gotta watch for them to darken), but our Becker s is pretty rare and from what I ve researched, I haven t heard anything about them becoming cancerous or even troublesome. My recommendation - since yours is small, go for it. The trick will be convincing your tattoo artist that that s ok. Ask the tattoo artist if they ve ever done anything like that. I d also say visit with a dermatologist about it, too. See if he/she says the same thing that mine said. I m planning on trying laser hair removal first. My dermatologist says it s pretty unsuccessful but to me it s worth a try. I m tired of shaving my shoulder :/ Once I give that a go, I ll be looking to tattoo over it, but since mine covers my whole shoulder, I think what I m going to do is have my bicep area tattooed with it covering just the edges of my Becker s. I ll see how that goes, then if it responds well, I ll go for the whole coverage. I ll check back with you. All the best!