Proportions seem great, the thumbnail sketch looks great, shading is great, skin looks great, however I have to agree with BenD, the skull lacks detail and depth, but I think this works to your advantage in this situation. with the shading of the skin, it looks almost comic-like, with the skull on top, not realistic, it looks even more comic-style. If that's what you were going for, great job, you achieved it greatly. If not, keep on working, and I'm sure you'll get the effect you're going for.