This face was developed in 3ds Max and Mudbox.  For it I used photographs of people for reference, placing them in the viewports so that my mesh could match it exactly.  Then I began modeling, beginning with a single polygon face and extruding along the face, until I eventually had a basic mesh.  Then after some modifications to the geometry through cuts, the model has a meshsmooth modifier applied to it.  The model was then exported to Mudbox, in which it was subdivided several times.  From there I sculpted the object with push and pull methods and then brought it back into 3ds Max.  I then threw some spheres in for eyeballs and was set.  Above is the smoothed model, below is the wireframe.

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