Make a fist so that the knuckles stick out and build them up with Derma Wax. Smooth the edges flat so that grease and moisture can not get underneath. Smooth the Derma Wax surface and edges off with the fingertip, using a little bit of Grimas Cleansing Cream.
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Powder the whole with a make-up sponge with Grimas Transparent Powder to matt and fix it; then turn the sponge over and continue dabbing with the clean side until the excess powder has been removed.
To create an 'open wound', the Derma Wax construction has to be 'cut open' with the sharp side of a Derma Wax spatula. Lubricate the tip of the spatula with a little bit of Cleansing Cream. This will allow the spatula to slide more easily through the Derma Wax, preventing it from sticking to the spatula. Make a cut on each knuckle.
Opening the wound edges up allows you to create a tattered effect. Raise the 'wound edges' using a Derma Wax spatula, lightly lubricated with Cleansing Cream. Do this carefully.