The once-squeaky clean star has been working overtime to shed her famous `Hannah Montana` image and was out and about in Hollywood showing off her new tattoo, reported Us magazine.
The 18-year-old singer/actress wore a T-shirt with a conspicuous hole in the side that was conveniently placed over the tattoo on her rib cage.
Miley has another etching on the opposite side of her rib cage that says `Just breathe.`
The tattoo, which she had done in December 2009, is understood to be in tribute to a nine-year-old girl called Vanessa who passed away from cystic fibrosis in 2007.
Cyrus met Vanessa at a Los Angeles hospital and instantly connected with her, describing her as one of her best friends.
She also has a stencil of a love heart on her finger, and `Love` on the inside of her right ear.
In addition, the `Party In The USA` singer has multiple piercings, including several in her ears, plus her belly button and nose ring.
Technically, this new addition is Cyrus`s first legal tattoo, as the legal age to be inked in the US is 18.