Well, Ralph Lauren admitted the photo above was doctored:

A spokesman for Ralph Lauren said last night: ‘For over 42 years, we have built a brand based on quality and integrity.

“After further investigation, we have learned that we are responsible for the poor imaging and retouching that resulted in a very distorted image of a woman’s body.
We have addressed the problem and going forward will take every precaution to ensure that the calibre of our artwork represents our brand appropriately.”

But, that designer didn’t act in a vacuum. They need to also address the culture that encouraged a designer to drastically alter a woman’s body. And allowed the rest of the Ralph Lauren staff to pretend like the photo was acceptable.