At first glance the picture seems to be fake. But it is not so, is at real as it gets!
The woman suffers from a very rare disease. Due to illness, when tapped on the skin, the tissue responds and in that place it keeps the form of the object that touched the girl, and it remains like that for a long period of time.
Ariana Page Russell is not bothered by the disease and even declares an advantage to achieve incredible things. She basically transforms her skin and paints things that she likes. She see it as a for of art.