The letters MS-13 are obviously added to illustrate what each tattoo means. He didn't literally put MS-13 on his hand. He got tattoos well known as o be associated with those letters.
It's a police image.
Discussion
Fuck off liar. You pushed this as real and now you're hiding behind more lies.
You didn't care if it was real. You pushed this because you're a racist cunt and a liar.
Once a liar, always a liar.