I like the concept behind the eyeshadow, but since her right eye is open further than the left, the makeup seems uneven. Was it? Her left eye looks drugged, but her right eye looks like she just lost a fight and took a punch to the face.
I dont mind the head angle if you are going for the drugged up look. I would expect someone in that state to appear a little tipsy and I feel the tilted head portrays that well.
The lighting makes her appear flat, but with the theme, I think it works. The white on the tip of the cigarette, her teeth, and top draw your eye in a competing circle with the black headband and eyeshadow. Then the eyes pull the whole image together
I'm torn on the earing, one side of me says its not necessary and distracting, but the other says it reinforces the disheveled look.
And yes, I love the smoke trail, and her left eye is perfect.