The image was softened using the photoshop plugin Portraiture by Imagenomic which alows you to soften the pixels that represent the skin tones giving you a soft airbrushed type of appearance.
I masked and desaturated the face and dropped in a new background composed of a cracked tile bitmap overlayed onto a white to black gradient. Then I brushed back a little of the original coloured face for the lips and eyes and recoloured the eyes to match the background tiles. A very soft drop shadow added a little more depth to finish of the image.