1- Took of the face of the Baby.
2- Used the pen tool to refine my selection
3- Used Liquify to adjust the ear and the nose
4- Some color adjustments to give the look to the face
Used (Sponge tool / Burn-Dodge tool / Gradient map / Brightness-Contrast / Layer colored with yellow and then changed the blending mode to soft light....)
5- Duplicated the ear.
6- Used the Teeth from the source and then transformed it using the skew
7- Hat taken from the source
8- Wings from the source too
9- Background made using Gradient color and used PS brush called "DP Crackle" it's in PS CS5.
10- That's all