Just a bit of a zbrush bust here. I added a smiley version of this guy too. I figured he wanted to smile. As far as creation goes, he was done while I watched a bunch of Bill Hicks footage and the beginning of Super High Me.
I find its pretty easy to do stuff while your doing nothing. What I mean by that is watching a movie could be sitting around doing nothing but, why not sculpt or draw something or whatever you do, while doing that nothing.