Or it can begin with a concept art.
Then I bought a 11.5 Obitsu/Parabox Petite Fairy Head in White. I decided on the head with the insert eyes and need for a wig. That way I could change her look as needed and her expression a little.
Now Heather might not have turned out the way I thought she would but I couldn't be happier for that. The head she ended up with has a soft, innocent expression. A good thing since she can be a bit of an imp at times.
Creativity comes in different ways. Sometimes it's a fully realized idea that blooms into a complete project. But other times it's a bit of happy accidents that turn out better than you intended. The trick is to go with the flow.