1. select and place the head of the boy in a background w/ a black and white gradient color....clone the mouth away.
2. desaturate the head and make a sepia tone.
3. color both side of the poster white/black accordingly and the lower left dark blue.
4. use a soft brush around the face, white on the left and black on the right side, to have a fade effect.
5. add a film grain filter
6. use dodge on the left side of the face to remove film grain and lighten face.
7. use burn tool on the right face to darken.
8. select and put the moth on mouth. make new layer and color the mouth then set them to 'linear burn'.
9. put skull on moth and place text.

Silence will keep all emotions trapped down within you until your insides match your outsides, and nothing is left.

I made it months ago in photoshop using many layers, smart sharpening, mask layers, layer blending, much burning and dodging. The layer adjustments panel works good for the light sources. I just added on the yellow emotions for this contest..

This Coconut wants to say something... But it remains silent...

credit to RJohn for the coconut. thx