For those who thought that the photo of Sienna Miller on the September 2007 cover of Vogue was real, think again! R. J. Cutler has documented and revealed in his film what really goes on when those shots are taken, and it appears that there was an instance when Sienna Miller's head was actually photoshopped onto another body. Is anything real anymore, what is the point if it's not real and how does it affect the self esteem of models?