I’ve been playing/working with layers, and here’s a sample.

A lodge cabin before surgery

And… here’s what the post-surgery Heidi Montag version looks like:

If you can landscape in real life, there's always Photoshop

Some things I did:

• Using some advanced selection methods like Color Range, Quick Mask, and Extract Filter.
• Using Alpha Channel Mask for layering.
• Using Transform and Opacity Levels to modify text and 3D effect.

What’s your feedback for me to improve on?