Week-old idea meets last-second execution (as usual).
To answer the obvious question, I used a Toys R Us smoke machine and vinyl tubing to make the smoke come out behind her ears. There are three lights on a ceiling fan directly above her head and an external flash on the camera in an otherwise dark room (the dark background is necessary to see the smoke clearly).
Processing details: cropped, levels, USM, boosted saturation a little and emphasized the red in her face. Dodged the highlights slightly on the smoke. Cloned out a piece of tubing visible behind her right ear, and a spot by her lip.
Special thanks to my little model for being so patient this late on a school night.
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That's too cute! Been there, done that, and watched my kids do it, too. I tend to judge high on "artsey" images, so normally I would have rated this lower, with a 5 or even 4, due to comedic content. However, I just couldn't. It really hit a cord with me - not to ignore the fact that you were so creative and probably worked very hard to set it up. Hope you do well in the challenge. :-)