The photo in question is of Khloe cradling her bub after giving birth in the delivery room.
As you can see, Khloé looks VERY GLAM right after pushing a baby out of her hoo-ha... something that is not this achievable.
It's obvious that her face has been lightened, and her neck blurred.
If you look closely at the bed remote in the background, you can see the evidence of Photoshop.
The blue around the remote has been moved and there's a gap in it.
Last week, Khloé was accused of photoshopping herself so hard that she added an extra finger to her hand!