Scarlett Keeling's mother says forensic tests show drugs were added to her daughter's body after her death to try to cover up her murder.
Goa's chief pathologist has concluded that the 15-year-old's head was forcibly held underwater for up to 10 minutes.
His report shows that there were not enough drugs found in her system to have caused her death and that a number of drugs were added to her body after death.
Mother Fiona MacKeown told Sky News: "I want the police brought to justice. They have interfered with the evidence - this is proof.
"This is something that we knew had happened all along."
She added: "I feel very shocked. My daughter had a horrible death and fought to the end."
Sky's Asia correspondent Alex Crawford said: "This is the news Ms MacKeown was dreading - she had tried to convince herself that Scarlett was unconscious when she died.
"But perhaps it is vindication of her fight for justice on behalf of her daughter."
Initially, police said the 15-year-old drowned in the sea off the coast in Goa last month while high on drugs.
But, despite resistance, Scarlett's mother has been campaigning for the truth to be uncovered.
After securing a second post mortem it was revealed that Scarlett had been murdered.
Three people have been arrested in connection with her death.
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