It can be one or the other, or both.
I'm personally against them. I think someone who jams a piece of metal into their skin, besides women with earrings, has seriously got some weird issues.
Tatoos I won't even get in to.
Would you date a girl with a nose ring/tongue ring?
Would you date a girl with tattoos? even if they did the EXTREMELY TRASHY tattoo above the ass crack that technically is a statement saying "I'm easy, jump on boys" ??
I'm very biased, but I want to know what everyone else thinks.