The possibilities of Photoshop are only limited by one's imagination. I don't know who originally had the idea to swap facial features in pictures of more than one person, but the results can be freaky! Sometimes the whole face is swapped; sometimes it's hard to tell where each part came from in this selection of images from the Something Awful forums posted at Unreality magazine. Link
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The one on the left looks like William Windom (Commodore Matthew Decker) and the one on the right looks like Martin Landau (who was offered the role of Spock).
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