I don't have a problem with the change. The only change they made was to make her look better and I don't know why a change in appearance would change the subject. The fact that she is more tan doesn't change the fact that she had lots of kids.
I don't think that this picture is ethical. The "photographer" didn't do any subtle changes, they drastically changed two photos and made a completely different picture. They insulted not only the two people in the picture but everyone who looked at the picture as well.





This picture is an example of repetition becuase the ladders are being repeated as if they are in columns.