Does it matter? A few years ago I had the same concern, but it's been easy for a while now to create photorealistic fakes of anything you'd like, and in practice it doesn't seem to have been more convincing than any other form of lying. There are of course a couple specific areas where the mere existence of a picture matters even if people know it's fake (see e.g.
https://www.edweek.org/leadership/students-are-sharing-sexua...).