Digital creations done on a tablet. The dress was art created in a regular sketchbook and the face and background created from scratch on the tablet.
In sketchbook pro I used a pen and the mirror tool for the face above, both sides of the face are the same whereas I used a pen without the mirror tool for the face below and the features are uneven [probably more realistic though rather wonky in this case]
The background was from a sketchbook, the dress [looks like a curtain!] started as artwork and was altered on the tablet. The face created from scratch on the tablet.