Gottfried Helnwein

There is a woman' face with a rock climbing cable running down across her nose. There is a man climbing her face near her eyebrows. The scale between the two is insanely large. I think it is a man scaling a billboard. This is because her face doesn't look like it has enough depth compared to the climber. This makes it appear as a person climbing a blown up photo of the woman. I think it is both a documentary and a artistic image. The qualities of the photo both show action and a more creative visual. I do think elements of it were photoshopped to make it look like a real face not a airbrushed photo.
I think the meaning is perspective and how you view the world. I think the intent was to fool the eye into seeing a man climbing the woman's face.
The image says to me that sometimes you need to just change your perspective on things to get the bigger picture. The difference in scale is that the man is so much smaller than the woman, this adds contrast to the photo, drawing your eye to the man.