Double click the layer to open layer style window. Apply layer style with the settings shown. We'll use star pattern that we saved in pattern overlay this time.











Using pen tool create a shape as shown.



Apply same layer style as we applied on star shape. In next few layers we're going to apply same layer style.



Create a rectangle using rectangular shape tool. Press Ctrl+T. Right Click and select Warp. Adjust the nodes to get the shapes of lips.





Create few ellipses using elliptical shape tool. Place as shown.