But this situation is just a tad more dicey than the regular ink that one finds.

Obviously, a mastectomy is fraught with all kinds of emotional baggage, so commenting on the ink that was intended to somehow be a acknowledgment of the mastectomy has to be handled very carefully.

I guess it is clear that this couple really wanted feedback, but someone else could be embarrassed by someone making a comment.

I think I might have handled it just as you did

or as mrfisher said, perhaps made comment of the ink

the wife, you and I.

But enough for inside jokes.

When can we set something up?  

Take good care, My Dear Erin.

I our imperfections.  We are all perfectly imperfect.....