Make the watch a compass, move the rose up and have the key dangle a bit below the rose. Compass starting at shoulder and key ending about two inches above elbow. Dylan inscribed on compass. Rachel on feather, Breanna on rose and Addy on key.
While the images used in this tattoo have been seen countless times on various individuals and on the walls of various tattoo shops, the way this tattoo has been executed makes it a beautiful rendition of the skull, rose, and clock motif.