In an article entitled "Confessions of a Retoucher: how the modeling industry is harming women", a professional retoucher who has worked for mega-fashion brands shares the industry's secrets. Along with fixing imperfections like skin wrinkles and smoothing features, the size of the model is manipulated by either adding or subtracting visible weight. Reverse retouching is just as common as making models skinnier, “distorting the bodies of very thin models to make them appear more robust in a process called reverse retouching. It is almost worse than making someone slimmer because the image claims you can be at an unhealthy weight but still look healthy. In reality, you can't, you have to Photoshop it". Reverse retouching includes eliminating shadows from protruding bones, adding flesh over body parts, color correcting, and removing hair generated for warmth from extreme weight loss. Professionals are saying that if an image is not labeled "not retouched," then the public can assume that photograph has been modified. As the fashion industry continues to use photos that have been manipulated to idealize body types, there is a need for education about how unreal and unhealthy these images are and the negative implications they are promoting.