Carlene requested a heart to join her headletter C with the initials of her daughters, A and A, decorated by their birth flowers. The two As are placed on the sides of the C, embracing it and being completed by it. The flowers associated to her daughters are daisy and honeysuckle, whilst the ipomea, or morning glory, is associated to Carlene. The ivy leaves added to the tattoo symbolize attachment, faithful love and tenacity.