It's a piece by Audrey Kawasaki, It's the theme of the majority of her work. The raw facial expressions on the face of a youthful innocent juxtaposed with features that accentuate sexuality such as the supple lips and the naked appearance of the subject. This one is of a young woman bearing her heart, with a longing expression of melancholy acceptance, of recently dejected supplication. She has shown her heart bare, innocent, pure, naked, honest, real... Beautiful. To put it darkly... This is the look someone gives when you have them in the palm of your hand and they're awaiting your sentencing.
In other words it's a hot naked little bitch showing her heart.
Backgrounds are for bitches, solid black like your soul is the way to go (Warning, not 100% effective if your soul is not black as Satan's bollocks). Or you do that cool thing where you get a picture of the space behind your monitor so it looks like your monitor ain't solid. That is pretty cool I guess. I don't have that as I am not cool and am, in fact, a bitch.