>>47013
The original is in OP, done by some Russian artis, his signature is in the lower right corner of the drawing.
The cut out head? Who knows. I know it from Krautchan/int, maybe some Bernd created it. But maybe was just a repost from 4chan/int or pol or somewhere, who knows.

>>47014
I think those are speckles of light, reflection of some light source. Supposed to make the eye look glossy. Other memes have that too, for example Pepe.