The images come from other movies(often pornographic films). He simply cuts pieces of film from the reels that he wants and splices them in where he wants them (usually between reels of the main film, where it is easiest because he doesn't have to cut the reels of the main film). It isn't explained any more than using a doorknob on the way from one room to another is explained. He has access to the material and the tools needed because he works as a projectionist.
jejorda2
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