And yes, I did modify her nose after all.
Clothes in Marvelous Designer (fun!)
Textures in Substance Painter
Not sure about giving her a cigarette, but I just wanted to see if I could do it in Substance Painter. Now I have one just in case. It's about 99% done with generators and procedurals.
At first, the bandaid on her knee was the usual tanned color, but a friend pointed out it was barely visible and looked more like a shading error than an actual bandaid, so I decided to make it more obvious.