It has been, but well. Some back fat gone of you look closely. The reflection means little. If you see how much tone, etc have been worked, it was clearly edited heavily. The questions s to what extent the shape was edited is harder to say. No picture with that kind of lens produces flat perfect skin, the tone isn't a real skin tone, etc etc. by editing the tone and colour of all skin surface, edits are harder to spot as its so monotone and unnatural. Removing blemishes is easy as hell and takes about one second with the program. That part you wouldn't be able to see, it's so common it has been a one button thing for years and years. Slimming is now a one button press too on many programs.