My tattooist drew mine, my 2nd one from a design I'd given him (he re-designed it slightly), the 3rd one was done as I designed it, the 4th one was designed by him from discussions we'd had over coffee a few times (he is a friend of my cousin & is an artist).

Find an artist, then take your designs to tattooists and have discussions with them, ask to see the work of the person, even see if you can see the person in action working.