• They raised her head
• They rounded off her shoulders more
• Raised her eyebrows
• Toned her face
• Plumped her lips
• Enhanced her cheek

I think it is think it is ethically OK to change a person's appearance in a photo like this only because they were using it for a modeling purpose on a bulletin. It would be worse if they did it without her permission. The changes they did i think were okay sense it was for a fashion bulletin but if they were to change her hair color or her eyes or her skin tone i think that would be wrong. Difference between fashion photography and photojournalist are that the fashion photo's get enhanced to the point you can't even recognize who it is in the first place they change almost everything. In photojournalism they just touch up the photo and they don't alter the person.