To be honest I think he's probably an older guy. We just assume we're all about the same age here but of course we could be any age. It's possible he hasn't quite caught up with technology and doesn't know what can be done even on live streams these days, never mind on a still photo.
I mean he's like "Make someone's nose thinner with photoshop? I mean how, that's like witchcraft or something!"
Yeah of course, no one says they don't, but it goes a bit beyond that in Asia. Check out the youtube video I posted above. There are ridiculous amount of effects...you can literally design the shape of your eyes down to every detail and choose the intensity of each effect, even on a LIVE stream. It stands to reason that doing it on a still photo would be a piece of cake. Pattaya thinks even changing the shape of your nose in a still photo would be "a little bit too far from standard practise". Talk about being out of touch with what is very simple these days. There are a million tutorials on youtube on how to make a model's nose thinner.