I dislike when art is presented as reality. This is another case of it. The Vogue cover is an artistic representation of Lady Gaga, it's not the Lady herself.
It's disgusting when magazines photoshop artists to the point where they can't possibly be real. Yes, we all know that magazines do it, but many of us don't actively look for the photoshopped parts and that can subconsciously screw our view on reality.
What's so wrong with reality that we can't be allowed to see it rather than photoshopped artistic interpretations?