Yes, and I'm not an expert at telling for certain that a photo has been altered unless it's a dead giveaway or there's something obvious about it. If that graphic of Amanda's children had their faces altered in a graphic editor such as Photoshop, and presented as real (to look like Ted's), it is downright mean and dishonest, and I wouldn't do it unless I included an explanation of what I did and why I did it.
I've created tons of graphics from photos where I altered them for artistic or creative purposes; most of it was allowed by the photo contributor or I used my own but some news photos, I suppose I should have gotten permission which would have most likely been denied. I never had an issue with it, and they are no longer on the web, but it's something to consider.
Maybe a lot of the unflattering graphics posted here of people many of us don't like from web photos would eventually bring trouble for copyright violation just as we can't post info from certain sources as it causes trouble for FR.
I think the hotel photo is flipped left-right.
In this CNN clip
https://www.youtube.com/watch?feature=player_detailpage&v=9_kimVFRsps#t=53
her hair is parted on her left. In the hotel photo her hair is parted on her right.