It looks like McNally took many pictures to start with using the same lighting and angle but then edited them into squares and created a collage to create this piece.

Paper Challenge 2019

Spaceship Project

Gottfried Helnwein response

The image shows what appears to be a man climbing up the face of a woman.  He is standing on her face with a rope that leads out of the frame.  the image is artistic and was made in photoshop.  I believe the meaning behind the image is the man is making the difficult climb up the face to symbolize the lengths he would go for that person.

tryptic

Blue Project

Dream Lodge Motel