Mike, I agree the four arms could be done traditionally, actually nice shot you linked

, but the Indian stuff it's all too strange. Besides the anomalous coins, the photographer should have used very many light sources so as to create this "unreal" light effect.
For instance, the vase is lit with a "flat", frontal light source, slightly from above, which doesn't reach the inner arm of the model, not to mention the black hole behind it (on the other side, you see the cyan background, on this side you see a suspect black hole, but that could be, maybe, the belt falling from behind the shoulder, not that I believe that). Was the light source so clear cut to end at the vase edge? Was the front light which lightens the trunk of the deity so clear cut not to shed any light under her armpit?
There is no shadow under the nose, but there are shadows over the eyes (in the orbits) and under the chin.
The belly is in full light, but the lower right arm (to our left) is strangely in shade. The coin a few centimetres in front of the arm is in full light.
The entire edge of contact between deity and vase is in a circular dark shade, while 1 cm in front you have a very bright light on the red tissue. I tell you, that vase is quite suspect
The shades are most suspect, in general. That strong light over the big lotus petal tips is not coherent with the rest of the scene.
I can pretend to believe that the white edge on the small lotus flowers (in the third and fourth hands) is actually on the object and is not supposed to be created by a light effect (like on the big lotus). But the big lotus is shown on us in another picture, and it has no white tips, that's a light effect (real or virtual).
On the elephants, the typical digital highlights clipping was very well simulated on film
It all seems to me a clear example of unrealistic "photoshopping". I would rate probabilities this stuff is heavily manipulated above 90%.