"Create a tattoo design for the back inspired by Michelangelo’s ‘The Creation of Adam,’ featuring the iconic hands of God and Adam reaching toward each other. Enveloping these hands, add a detailed, sinuous serpent symbolizing the presence of evil in creation. The snake should coil gracefully around the hands, with realistic scales and a subtly menacing expression. Use dramatic shading to highlight the tension between good and evil, with intricate details on the hands and serpent to enhance depth and symbolism in the design."