Sure. I started with a hand drawn picture of myself with that necklace on it and a crumbled up piece of paper where the eye was. I then got this in photoshop and cloned in a real picture of me overtop of the drawing in some parts like the lip, and eyes. I also took a seperate picture of my hand and put it in. The other elements are things cloned in at low opacity from other pictures. It was really just trial and error, make-up-as-you-go-along experiment. Try it out!
Really interesting piece of digital art. I never really understood how to do these kinds of things so I give a lot of respect to those who master them. Although this may not necessarily be straight up photography, it tells an interesting story and is a quite good composite. I've enjyed browsing your portfolio --- keep up the good work!