Stefan Sagmeister is a graphic designer and typographer mainly based in New York with his own design firm, Sagmeister Inc. He has designed album covers for Lou Reed, OK Go, The Rolling Stones, David Byrne, Aerosmith and Pat Metheny and is very well known because of his dark unusual pieces of design.
This photograph above outlines many reasons why Sagmiester's work is Avant Garde because of how dark and unusual it is. The piece doesn't follow the conventions of graphic design and doesn't stick to the rule of form follows function. Carving into the human skin is far from being a regular recognized form of media and is a shocking technique to use, this shock has built on the pieces fame and has been used to gain attention.