No Photoshop is being used here. Sofia and her little friend are joined at the hip. They weren’t born that way, but now they are. Perhaps there is a way to rectify it without surgery. We have a call in to an expert at CHOP. Or … we can appreciate that she has such a “close” friend already.
ingordonville 
It’s heartbreaking, but all you can do is wait it out. As these two get older, they will separate and go on to lead normal lives.