1. First I used the background for the final background by using the pattern stamp tool and removing the hand and filling the corners for a smoother pattern.
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2. Then I used magnetic lasso tool to select the hand and dragged to the main canvas.
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3. Using the rectangular marquee tool to select a small portion of the bottom of the hand then used free transform to stretch. I used pattern stamp tool to blend wrist.
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4. Then dragged this layer over to the main canvas.
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5. Selecting sections of the extended wrist and using polygonal lasso tool to make ends meet in a 45 degree angle.
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6. Dragged each piece over to add to it using the same previous steps.
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7. Used free transform to stretch sections to fit and merged layers to make one complete hand and bent arm layer.
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8. Dragged several of the main-arm layer to the main canvas, using free transform and rotate canvas to position each is different sizes. Used less brightness to change the shade.
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9. I made a final arm layer and resized and then using free transform to extend the wrist. Used brightness/contrast to make much darker. Then used free transform to layer into the background in various positions.