I do not think that they have photoshopped any pics. Mine look the same and I know for sure that its the real deal, I saw them right after they where taken.
I cant see the final result because the surgery was only 7 days ago but they have been very friendly and caring during my stay here.
I will come up with a final review later on when the changes are more obvious. I was one of their more extreme cases, I had alot of bone that was taken away.