I think this picture is trying to pass itself off as a candid picture of two kids finishing up a puzzle. I don't think that's the case. I think it may be staged, and at a minimum shows two kids messing with a completed puzzle.
When most people do a puzzle, they connect the easy pieces first. The borders and clearly identifiable objects would be the first to go together. The piece they are holding is one of the easier pieces in the puzzle to put in its proper place. It shows part of the eye with a slice of hair as well. At the other extreme, the white skin of the forehead, cheek, and shoulder would be a challenge to assemble properly.
If this was a true candid shot of the puzzle being completed, I think it would be more likely for the kids to be placing the final piece in the lady's massive forehead.
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