A lot of post processing went into this, but nothing extra-special by itself...
*Spot Healed some blemishes on the model's arm/hand
*Cleaned up fingernails
*Levels/Hue/Saturation on the skin
I wanted this to be B&W with some blur in it to convey a more graphic and fantasy feeling, but just couldn't get it to look right before the challenge deadline.
Anyway, this is my fantasy. :)
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This looks a little too staged and self-conscious to work. The bright lighting contrasts with the somewhat dark thematic elements, and the composition doesn't use that contrast to it's advantage. The well-manicured nails and the fact that the model's hand is holding the restraint rather than being held by it seems to work against the intended theme as well. This ironic contrast between the various thematic elements could be made to work in your favor, but somehow it seems too accidental to work here.