This artwork is titled “Woof” by US artist Whitney Leith, who goes by AyameFataru on DeviantArt, where their gallery contains more work of similar style and especially featuring piercing. Of this piece, the artist writes:

i’ve been playing a lot with textured paper, white charcoal and copic markers. this is what happens when i do that.

This artist also has several webcomics that are viewable on Smack Jeeves.

This post is a reblog with added provenance from a 20 November 2013 post at Infernal Wonders. Its original source was a now-defunct link at the long gone tumblr A Beautiful Disaster. (A very incomplete copy may be viewed in the Internet Archive.)