It's possible but not that easy to pick up complex small regions such as hair etc. Xara isn't really designed for that kind of work (yet). One thing Xara lacks at the moment in my opinion is a really good pixel selection mechanism akin to what is in a dedicated bitmap editor such as Photoshop. An example of the best pixel selection I've come across can be viewed in this video. Nevertheless, for pretty much everything else, Xara's mask and drawing tools are perfectly good.
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