is it manual editing if it's about to be thrown into a blender?
https://catbox moe/c/f6hxe0
The hearts thing is an edited background https://files.catbox.moe/4ramcq.png from Library of Ruina. I'm not sure precisely where I got a version without a red line across the middle (as in https://files.catbox.moe/c6a1hg.png), but I think it is a screencap from a youtube video I'm not digging up. Looking at them side by side the one I mangled in paintdotnet lost details beyond the big red line, will have to mangle it later too.
https://danbooru.donmai.us/posts/4196905 also there's where the boobs came from.