I got the image used in this layout from - the photo is a Norman Rockwell reproduction used as a card in the game, Stare. Scanned and edited in Paint. I made the buttons and backgrounds from the same image.
If you're a member of Skem9.com you'll be able to customize you're profiles as well! Heres the selection of layouts our members have created for their profiles. To use one of the layouts within here, you have to go to your "My Account" pages, and then on the left side you'll see the link named "Customize Profile", you can put the code within there.