And could probably replicate what was done with this shot.
But I love women. And I take them as they come. The work on her hair, I get. But this model really doesn't need improvement. Other than her facial expression. Which was simply the pose the photographer chose to capture.
She was more attractive before the Photoshopper narrowed her eyes, broadened her cheekbones and worked her mouth. Making her look "extreme".
Nothing wrong with her figure before he / she did the waist / hips.
I have known a lot of women. I don't think I have ever seen a figure like that in the wild, as it were.
At this point, one could fairly conclude that the Photoshopper knew, but simply does not care, about the damage this sort of thing causes.