Using the beautiful kit Before and After designed by Stina. Another great kit!  It is a PTU KIT. You can purchase it HERE . Tube of choice. I used one i got from ASD who tubed. I don't remember her webite to give you.
Mask of Choice i used UFMask10
Font of choice.
PSP 9 i am using but any should work fine.

Open a new image of 750 by 650. Lot's of space to move around. Open frame 8 and paste as a new layer. Resize 85 percent twice. Open paper of choice. I used paper 25 use your magic wand select in the middle of your frame paste paper as a new layer invert and delete access off. Use tube of choice place in the middle of frame and delete the access of tube. Selection none. Merge together your frame, paper and tube. Add a drop shadow to your frame.

Use another paper of choice open your mask in psp. I used paper 01 and then go to layers, new mask layer and merge together with your paper. Resize mask if need to. 

Open the dahlia02 flower and resize 65 percent two or 3 times and place in the upper left hand corner. Image rotate 15.00 to the right twice.

Next open cushions 1 and 5. Use cushion 1 and resize 65 percent at least 6 times and place in the lower left hand corner use your deform key to stretch it out just a little. Not a lot. Use cushion 05 and resize the same amount and place next to the red cushion.

I used the side table resized 65 percent 4 times and image mirrored it and placed it on the right hand side on the lower bottom of the frame.

Next open the fangs and resize and place behind the frame like they are biting it. Then open the blood drip 01 and place a top the frame like it's dripping down. Use your deform tool and move it together were it is inside the frame. I earesed some of the blood drip around her face so it wouldn't be running down it.

Then at the top of the frame i added Before and After. And gave it a slight gradient glow with red. Add your name and the copy right information.

Thank you for trying my tutorial.