I found this girls expression darn near impossible to do from the front view so I turned it to 3/4 view. Trying to get away from making everything too dark as well.
Came across Ember and her current struggle with anorexia. I went with the half skeleton to emphasize her fight with the disorder. Good for her for realizing the problem and fighting it. Her instagram – https://www.instagram.com/embersrecovery/