I think they were trying to add something to the photo that emphasized masculinity, like they did to those actors in the movie 300. It was probably the easiest thing to tweak. But you aren't going to get abs like that without toning everything around them to a certain extent, and it would be especially hard if you've recently had a double mastectomy. My cousin's wife had that from cancer, and it took her a while to recover and regain fully mobility.