Photoshop Makeovers

Perception: The ability to see, hear, or become aware of something through the senses

We, as humans, interept reality through perception of our senses. BUt what if what we're perceving is not reality? FOr example this video below:

Digital manipulation can be done by anyone who own any digital manipulation software. Thanks to programs like Photoshop, we can now change images easily. This this ethical?