Hi Sherry
As a longtime quilter turned into fiber art 😉 and now composite photo art, I have in the past run into the same situation as you - a photo without much digital info at all, but needs editing. A fellow quilter sent me a screenshot and asked if I could "help it" so she could finish a catalog for an upcoming quilt show. Similar to yours it had a lot of hand quilting. I told her I would try. Wanting to be true to the hand quilting the only thing I could do was to zoom in as close as possible without blurring the area, taking one section at a time. I matched the thread as close as possible with the color picker. It will be off white toward and ivory color. I used the pen tool on the narrowest setting to make a path. I wanted to have the anchor points in case I needed to adjust it. Knowing the quilting stitches would have been 1/4 inch or less I took samples of stitches I could see and measurement the length of the stitch samples so I could be as accurate as possible. Then, I followed the path and 'drew' in the stitches as accurately as possible. Something helpful in your photo is the raised area created by the quilting shows well. It is time-consuming, but so is hand quilting! When you show the photo you can add in a very small font that some stitches were digitally edited so the viewer could see their intricacy - or something to that effect. I hope this helps. If you need help along the way, just email me or post it here in the community.