The answer lies in consent. If the person in the photo has not explicitly agreed to the transformation you are making, you are not an editor—you are an aggressor.
High-end boudoir studios outsource "lingerie editing" to remove bra straps, tighten garter belts, and whiten teeth. They explicitly refuse anatomical changes to avoid lawsuits. Photo sex Editing
A woman who pays to have her labia "edited out" of a boudoir shoot may later seek actual labiaplasty surgery because she believes her natural body is "un-photogenic." The answer lies in consent