There is a high likelihood that there is some photoshop going on in this. Not a whole lot, but a little bit. Maybe enough to move his jacket so it looks a little more trippy than it is. Then again, I have no idea. I've been staring at different parts of this picture for a while now. After my third nosebleed I decided that I better chill out and take a break. It was a deep red colored blood, so I knew it was from the brain.
I think the orange car might be a toy on a surface in front of him, while the other car is a real car behind him. They also might both be real. This man could also be a giant. You never know with these things. I like to keep a childlike wonder about me though, so I'll go with giant.