As Mat has stated there are a lot of ways to deal with this task, but it all depends on the end result your looking for.
Game Asset - Polygon Plane Texture (with Alpha)
Photoreal Image - Model it to detail and/or use above
Film/TV/Animation - Model it to detail as above and use cloth to get it react correctly
These are my solutions and others will have there own ways. I suggest you look at what your end result wants to be and use that to get your workflow sorted and how you want to tackle it.
Chris (formerly R@nSiD)
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Winner SM VFX Challenge 1
3rd Place SM SteamPunk Challenge (May 2007)