I did a little skin smoothing, and lightened the image up a little The rest was simply the 4 various light sources I used! I had an overhead light, desk lamp, table lamp, and a flashlight taped to the wall- It looked pretty silly, but I think I got the shot!
LOL. I once used bed sheets as reflectors to get better light and made a funnel spot out of duct tape and a pringles can. You do what you got to to make things work.