Face transfer (with face transfer shapes, which you need in order to use face transfer properly). I used a Midjourney image, using "bald" and "snow lighting" to keep hair from getting on the face map, and reduce shadows. Took the face map into Photoshop and lightened the shadows that were there, adjusted the colors to increase the reds, and lastly cleaned up the eyelids. Borrowed some nipples from a google search for the torso (if I keep using her, I'll lower the reds in the nipples). Adjusted the colors in the render to match better with the room. If I didn't have to head to work, I would have messed with the lighting (the hotel room is Midjourney).