Now That's One Way to Enhance a Photograph
This one is likely quite clear, but the girl in this picture asked to have the guy's two middle fingers removed. We understand why you might want something like that removed from a picture. But they simply ended up being replaced by the guy's index toes. Still, they're his index toes rather than his middle ones, which we would guess is better than the posture he was using before.
It also looks ridiculous, which is not a bad thing. Actually, if you hadn't seen the first picture, the second one might seem really reasonable given some of these factors.