play around with the advanced lightning effect. i think several layers of that could get you pretty close to that kind of texture.
animating the decay property can get them to grow on/off.
for compositing onto an image like a face, look at some tutorials like this one on videocopilot:
http://www.videocopilot.net/tutorials/the_healer/
Kevin Camp
Senior Designer
KCPQ, KMYQ & KRCW