Acupuncture
Just have an eye on your subject and watch what she is doing. Even in the preparation time before or just after a shooting sequence.
In this case she was rearranging the needle again. You know already that needle which often fall down to ground and became a main actor in the shooting scene. Here she is trying to fix it again before she gave up and tranformed the accessory part into a main actor ! And agoin no tricks in here. Just the Olympus E-M5, Summilux 25, f1.4, ISO200, 1/100 second and no flash was used… and i made a decision to convert it into b&w to get the even more dramatic touch focussed on her hand and the needle itself.