It won't win any awards for creativity. My original idea was to bury my head in loonies (1 dollar coins) but the pics of myself were terrible. Then I tried barfing up coins but that looked awful too. I need a model!
Handheld, windowlight with some white reflectors. Camera raw cropped and imported to Photoshop, adjustment curves, and unsharp mask then saved as jpeg for the web.
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I have noticed that many people went the money route with Affluence. Technically this image is good, however I think there could have been more of a creative aspect.