well of course the image is real in so far as it exists, but it is not the persons real face. ANYONE can be photoshopped to look like anything, industrial strength makeup can perform mostly realworld photoshops. It is quite obvious that those who engage in such does not look like that without the makeup.
I am saying that people must exercise some thoughts about what is natural. I could pay someone to put my face in a tom cruise movie, and be just like him. Also, I dont believe that people make videos that "purports to be their real life" as such, I mean sure, they produce a video, but do they explicitly say "this is my real face with no makeup, and this is the entirety of my life, ONLY these glamerous things you see" ? and EVEN if they do, people must simply understand what medium they are watching. Find the latest John Wick movie, and it will claim hard to be real life, claim shit is real, but its not. If someone on instagram or tiktok makes claims, judge them for what they are.
Now sometimes it might be hard, but the obvious cases are EASY. its extremely easy to see when someone has industrial strength makeup, uses smoothening filters that takes away ALL details etc