It is created with paints as opposed to in a filthy mirror using a mobile phone camera.
The undergarments do not have words printed on them.
It was most likely not created by a man in a backwards baseball cap.
If found in an online database, it is most likely catalogued by something other than a preference.
The person photographed is doing something other than just being nude, such as holding an accordion or an egg.
You could not look at the photograph and say that anything is being inserted anywhere.
The woman’s hair is not blonde.
Pubes.