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Paint is applied.
This may look like an ornate Mexican sugar skull but a closer inspection reveals it is actually made up of cleverly painted people.
The incredible artwork is comprised of seven nude women who have each been covered in sparkling white body paint and brightly coloured patterns.
When the models all get into position they form a perfect sugar skull - the brightly coloured icon of the Day of the Dead festival, a Mexican tradition.
The idea for the eye-catching piece was thought up by Rene Rodriguez, a photographer in Los Angeles, USA.