Nearly done - I need to figure out what I'm going to do with the back.
The backstory - a friend has had a cancer recurrence, and described visualizing her cancer cells as shrunken heads on stick legs, running away during treatment. The idea of a voodoo mask to support this vision popped into my head, and this is the result.
The embellishments are vintage mother-of-pearl buttons, sewn on with glass beads. Perle cotton stitching.