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Absolutely. The eyes are very badly shadowed and the spectral lighting really emphasizes the skin imperfections. It looks like they used just one photo flood with no diffuser.
However, the artist did more than fix that; he also narrowed her jawline, and did very nice work around the eyes to remove the creases without making the picture look obviously fake. If you look at the whole-body picture you can see he narrowed her waistline and her right arm, increased her bustline, and turned her right hand somewhat. That's not just fixing photographic issues.
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