Scarab (the "bug" in the middle) - stands for renewal, long life, and good fortune. Feathers of the Goddess Maat (the wings) - stand for truth, balance, and justice. Lotus flower (bottom) - shows born of chaos, rebirth from difficulty (a fresh start).
In the cartouche at the top is:
an ankh (on top) - stands for life, stability, strength, and family
the eye of horus (or the udjat) - stands for healing and protection and positive power :)
Work by Pat Kanzler - Flesh Mechanics (Monaca, PA)