Fox said all women in Hollywood are known and marketed as sex symbols, but that this is okay if the woman knows how to utilize the status. She created a character for her public image because she was unwilling to sacrifice her true self to the world. Scholars Wheeler Winston Dixon and Gwendolyn Audrey Foster disagreed that every woman in Hollywood is marketed as a sex symbol, and stated that Fox's "celebrity is based on what she admits is an entirely artificial construct designed for dissemination in the Internet age, a 21st-century media personality in every sense of the word." Part of her persona included making outlandish comments, which she said helped her reach her level of fame versus being "a typical starlet" who "said all the right things". Her tattoos, which she began getting at age 19 as a form of self-expression, helped popularize tattoo fashion. She had over nine known tattoos, including a picture of Marilyn Monroe's face on her right forearm and a quote on her shoulder. Author John Tehranian argued that Fox's Monroe tattoo enhanced her "implicit claims to Monroe's legacy as Hollywood's leading sex symbol." Fox ended up removing the Monroe tattoo in a series of laser surgeries because she felt that Monroe's life was full of negativity and she did not want to emulate it.