This image is a part of a series of ads representing various situations in which one would NOT want to give birth (it's a long story....).  Our team chose to represent the circus, equipt with a creepy clown midwife.  I created this scene using both photography and illustration in Photoshop as shown in the before and after shots below.  
Photography: Clarissa Westmeyer, Kalman & Pabst Photo Group
Set Styling: Sharon Hynes
Make-up: Derek House
Digital Art / Illustration: Brooke Figer
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