I can see that happening but effects programs sure have their place. I don't recall using a lot of effects on this photo except the frame job. However it isn't a prizewinning picture either. Having the right camera and getting lucky with lighting sure can make a money photo though. Half of it is being in the right place at the right time, and having good equipment is a must. I sure have a lot of fun over effecting photos to the point where the end product looks like an abstract painting or something.
Realism in photography is the same as realism in painting or drawing.