Amanda -
I'm accustomed to hand holding. Actually, I wouldn't have it any other way. It's just my style. I suppose if Photoshop didn't exist, both photographers and clients would have no choice but to rely upon the organic look like in the olden days. Additional responsibility would then be weighted upon the photographer's shoulders by those who perhaps don't look as 'perfect' as they'd like to look in the end result that is the image. Even an uber talented photographer cannot work miracles. I've shot photos of women where the angles and lighting did work miracles and still the photos were questioned. Where to draw or 'shoot' the line as it were. Go figure.
I've seen many photos of women that were totally untouched. Such a style glorifies the beauty of a woman's imperfections in a Picassoesque style of realism. I actually prefer an artistic style that celebrates the imperfections of a woman's body that I find quite exhilarating. But, then again, maybe I'm a freak. lol. That's the abstract side of me.
A gentleman who prefers a beautiful BBW I suspect does not want to see her body totally 'Shopped to the point of unrecognizibility when they meet. Yet, she may desire to have her photos contoured to her liking.
One of my favorite modern art photographers is Naomi Fisher -
www.naomifisher.net. I know her from Miami and her work is sharp, edgy, gritty and R A W. There you go. But definitely not boudoir. Her works have quadrupled in the last 5 years.
However, I suspect that if as a photographer, if I didn't practice at least a smidgen of 'Shop, I'd have no business. lol. Those particular clients might critique their images in a less than favorable way.
I have worked with a few clients who have told me point blank to do whatever I have to do to make them look beautiful. This is the dychotomy that a photographer may face. Thus, the margins for my use of photoshop have progressively narrowed. If the end product of an image does not recognize a woman when she walks through the door, then it's over-shopped.