Added the pear and blended it in, hole for the worm was added at this stage too
step 3 of 8
Duplicated step 2 and dodge" and "burn this, adding shadows and depth.
step 4 of 8
Used the small end of the worm, liquify tool was used to manipulate the shape and size.
step 5 of 8
Top of the apple was added and blended in, original shadow removed and a new one added to match the light, the stork of the apple was also modified a small amount with the liquify tool.
step 6 of 8
Mouth blended in, digital paint, Gaussian blur, clone tool, dodge" and "burn.
step 7 of 8
Tongue added, piercing removed, Gaussian blur.
step 8 of 8
Masked the eye using Channels, is the easiest way to mask out more complex objects with clean edges.