Writing needs to stand out a lot more. Lose the water paper effect (or reduce the opacity). Center framing is boring, try using a unique perspective to enchance what you are trying to get across. The pose is a bit to jovial...i think the head needs to come down more, or the arms need to hang more...or something. I'd also like to see a few more brighter highlights to balance the left and right side of the center of attention. Maybe brush the dodge tool along the right profile of the figure. In fact this reminds me of an Image a did a while back, called "beauty is only skin deep." http://www.renderring.com/gallery/skindeepbig2.jpg I also used painted effects...cool coincidence.