Before and After

Step 1
Open up your picture in PhotoFiltre.

Step 2
Go to Edit >> Define Pattern.

Step 3
Go to Adjust >> Brightness/Contrast and make the Brightness 30%.

Step 4
Go to Adjust >> Hue/Saturation and make the Saturation -25%.

Step 5
Now using the Clone Stamp tool, erase everything but the skin.

Step 6
Add effects and you’re done! I changed some the coloring a bit.

If you want it to be more pale, then just make Steps 2 and 3 more intense but I wanted my effect to be more subtle.