Pic hasn't been photo-shopped. Don't see what all the fuss is about 
They're different pictures, with one of them (the MD cover) being a CLOSE-UP!
Heath is a short and little man. He is what he is today purely as a result of an obscene drug regime.
History shows that the panel of IFBB judges dont favour little men...This may seem unfair, as so many wannabee-bodybuilders get into the sport because they are having trouble coming to terms with their 'short man syndrome'.
One, Heath's listed at 5'9" tall, just over average height
Two, "little" or not, Heath has entered 5 pro shows and won 3 of them. So, apparently, the judges aren't as harsh on "little men" as you think.