As with every chop, it starts with the source pictures. I am an absolute lazy photoshopper and I am usually willing to spend several hours looking for source pictures that require as few adjustments by myself as possible. I chose this source picture because it has the technical quality of a professional studio photograph, but it is still fairly unprocessed, by which I mean that it is not completely retouched and still shows Madonnas wrinkles, the pores in her skin, slightly bloodshot eyes and even a few hairs on her upper lip. OK, lets start chopping! Well start with the bloody nose. I found a source picture of some guy who used fake blood to create a bloody nose for a theme party. I roughly cut out the part that I needed, put it on a new layer above my Madonna layer and switched the blending mode to multiply.