Honey, you wouldn't BELIEVE the years and poundage I've shaved off in Photoshop.
I work in the beauty industry as an art director and will be the first to admit the amount of retouching and enhancing done by our superb team but I do insist that we stay away from "cosmetic surgery". We don't thin or enlarge any features. No shaving down jawlines and chins. We do erase wrinkles and smooth out skintone, customary retouching for print, but sometimes my partners go too far, blow the models out so much that they look two-dimensional, like a painting. I insist that they go back and find where they crossed the line and when they find that point, that's the finished piece.
The hope is that no one is looking at magazines and seeking to be as flawless as the models and actors and entertainers, etc. they see. There is no such thing as an unretouched photograph. Absolutely none. Everyone should know that by now.