Here at Angelo Wood Design we start with a photograph or image.  Use a CAD design software to render a 3d profile.  Cut that profile on a CNC machine on a solid piece of wood.  Finally, we hand paint the wood carved design.
If there is a photograph or image you are interested in having carved in wood.  Send us the image to angelo [!at] angelowooddesign.com.  We will respond with a quote and a digital preview of the project for you to review and decide whether or not you would like to proceed with the project.