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This ended up taking much longer than I thought it would. My painting style is very slow, and it took forever to get the lips right. It's already set to wallpaper size if anyone's interested.
My main inspiration was the photography of Lewis Hine, but I was kind of going for a Shohei Otomo look. I initially wanted the rendering to be much simpler. but my skills aren't quite there yet to be able to reduce it down so much and retain the realism I wanted.
Lineart was done in Sketchbook Pro and Painted in PS