This image is by the Ukrainian photographer “Flexdreams”, and is titled “Terrible nurse with a syringe with blood in hand” on Shutterstock. It is the first of four related images available in a Shutterstock stock photography series:

The Flexdreams photographic portfolio is extensive and has much to offer in the way of surreal, beautiful, and disturbing imagery.

This image is a reblog from a 15 November 2013 post at Infernal Wonders. Its original source on tumblr is Emily Strange: Gothica Experimentialis.