I would get rid of the visual distractions. Drop the arm which cuts the profile almost at the eye, drop the earings, change the clothes to de-emphasize the bony shoulder and skin, use the hair to de-emphasize the extremely long neck, cover the ear, and comb the hair.
Note that in a portrait, the body parts and jewellry, clothes etc. closest to the camera are what gets the visual emphasis. So here the emphasis is on a bony shoulder, very long neck, long ear lobe, the big earings and extremely long fingers. If that is NOT intentional, then the composition of the shot needs to be changed.
skieur