I don't think it matters at all. I mean, we all know that anyone who poses for anything has their hair done professionally, their makeup done by the best makeup artists, any blemishes washed out in photo shop, etc. I mean, this process is true with every actress/actor we view on a tv show, in a movie, anyone we see in a magazine or advertisement somewhere, etc. This is the 21st century. Nothing is real or as it seems unless you run into someone face to face. Plastic surgery or not, nothing we see is really as it is. Even someone like Angelina Jolie isn't such a sexy person when you see the way she really looks. No one is perfect... these people just want normal people to feel like we should strive to become like these fake images of perfect people.