At a quick first glance I thought this was a photograph. My initial reaction was – ‘Wow! What kind of set-up do they have in their bedroom to get him into that position?’ Closer inspection revealed a rendered image that relies on imagination and computer software, not a bedroom with an electrical winch.
In reality I think the submissive would need a lot more body support to be able to handle this position. With that in place, in would be a fun one for some tease and denial. She could leave him high to watch her sleep or pleasure herself, or lower him to touching (and pinching and squeezing and slapping) distance. I assume the device the artist has placed in her hands is the remote control for the winch mechanism.
I’m afraid I don’t know the artist who created this. If you can help me attribute it correctly then please leave a comment.