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This tutorial was written by Millie on October 25, 2012

Any resemblance to any other is simply coincidence and not intentional. 

I used PSPX2 and I assume that if you're doing this tutorial you know your way around PSP.

Artist: KiwiFireStorm HERE 

Scrapkit: PTU Playing Doctor by Gimptastic Scraps HERE 

Mask: Designs By Vaybs mask #107 HERE 

Template: #104 by me HERE

Font: I used VTKS Sunny Days

Plugins: xero - porcelain, clarify, vm extravaganza - transmission, eyecandy - gradient glow

Open template 104 by me, ctrl + d, close the original

Delete c/r layer and make background layer visible

Go to layer 1, selections - all, float, defloat, new layer

Open paper3, c/p INTO selection

Selections - none

Go to layer 2, vm extravaganza - trasmission

line width 6, offset 0, contrast 40, hit ok

Go to layer 3, open frame1, resize by 90%, c/p as a new layer

With your deform tool move the frame around so that its same direction as layer 3

Open your tube, c/p as a new layer

Move tube under frame and place it so that face is peeking out of frame

Effects, xero - porcelain same as above, change blend to luminance (L)

Go on frame and add drop shadow of choice

I used a light one

Go to layer 5 and merge it down to 4

With magic wand click inside of the circles

Open paper10, c/p as a new layer, selections - invert, delete

Selections - none

Open frame 3, c/p as a new layer, with deform tool resize it so its size of circle on right

Duplicate frame, move frame on top of bottom circle, see mine for reference

Add drop shadow to frames if you like

Go to layer 6, click inside of it w/ magic wand

Open paper5, c/p as a new layer, selections - invert, delete, invert

New layer, selections - modify - select selections borders, both sides, 3, anti-atlas

flood fill with white, adjust - add noise - uniform 100

Selections - none

Go to layer 7, delete

Time for a couple of elements, place these to your liking

Open nurse, c/p as a new layer, move to the left of the tag

Open medical tape, c/p as a new layer, move to the left of tag

Open laptop, c/p as a new layer, move to left of the tag

Open medicine, c/p as a new layer, move to the left of the tag

Open medicine dropper, c/p as a new layer, image - free rotate - 90 degrees right

Open patient chart, c/p as a new layer, deform tool, rotate it some and move to middle

Open ribbon c/p as new layer and move it to the right some

Open stand, c/p as a new layer and move it to the right some

Go to layer 8, c/p tube as a new layer, image - mirror, place face above circle

Click inside circle (layer 8) with magic wand, go to tube, selections - invert - delete - invert

change blend mode to luminance (L), add porcelain same as before

New layer, selections - modify - select selections borders, both sides, 3, anti-atlas

flood fill with white, adjust - add noise - uniform 100

Selections - none, change blend mode to luminance (L), add porcelain same as before

Open your tube, resize by 80%, c/p as a new layer

Effects - xero - porcelain, make blue channel 0

Effects - xero - clarify - default settings

Duplicate your tube, and change opacity to soft light

On the bottom copy of tube, add drop shadow of 0 0 50 3

Go to layer 9, effects - plugins - eyecandy - gradient glow

basic: glow 3, soft corners 25, opacity 100

color: fat, opacity 100

Add drop shadow

Go to layer 10 and do the same as layer 9

Open RX, resize by 50%, c/p as a new layer

Move it below the tube layer and place to your liking

There are more elements to play with so just have at it

When done placing everything close background layer and merge visible

Open background back up, new layer, flood fill w black

Layers - new mask layer - from image

Find your mask in your source window, create mask from source luminance, hit ok

Merge - group

Delete background layer, merge visible, add credit and your name

Were done 

Thanks for trying my tutorial