I used natural light- set up my tripod outside. But honestly, that's mostly because I don't have any good artificial lighting- just the on camera flash.
Then I did a lot of post-processing. For everything but the eye, I used the levels tool to lighten it up, and desaturated it almost completely. For extra impact, I used a white soft brush with the opacity set to about 30% to smooth out the wrinkles a bit.
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