Charcoal/pastels/canvas. This depicts a sweet friendship between 2 men afflicted w/ microcephaly (neurological disorder where head & brain are abnormally small caused by the Zika Virus infecting pregnant women). They often are developmentally disabled; in early 20th century they were called "pinheads" & often worked as "freaks" in sideshows. However, the sideshow gave their life purpose; the sideshow folk became their surrogate family. And yes these ARE MEN, dressed this way due to incontinence.