I disagree! photo manipulation plays a starring role in how pervasive and insidious these ideas are... I can turn off the TV and avoid movies, but I can't avoid ads, billboards, grocery stores, direct mail, you name it... it's everywhere.

I live alone, and if I go into town there's a good chance I'll see more doctored photos of people than I see actual people (depending on how busy things are, which is usually not very).