Angles are slightly wrong and the spot of "Epstein's" skin under trump's arm should be slightly darker/shaded.

I am no expert on it, but it doesn't look like a professional job to me.

Must be fake. She’s much too old for Trump.

That looks like a young boy in the same attire right above her head.

The border on the left arm of his suit is too crisp. Looks more like a collage.