According to photo.net, And i quote
[quote Photo.net]Manipulation is one or several adjustments to just a part of the image, e.g., dodging and burning[/quote]. If this photo looks different from the other one, then yes, it's a manipulation of a photo. If you look at the ccentre of the hair, it definitely looks artifical, as does to top, where there are spikes of hair. But bits like the ears and eybrows look, and probably are real.
I'd say it was manipulated, for the reason that the finished version would be different from the original (need original photo to compare). I guess any photo that gets adujsted for better viewing (people on magazine fronts, some newspapers) is heavily edited or manipulated).
Cheers, dafin0