Yes, that's a photomanipulation. (In case you have any doubt, you might wonder why Schneizel is shoving his middle finger into Kanon's eye.) However, the following are quite real:

(http://smg.photobucket.com/albums/v492/megalomaniageek/?action=view&current=schneizelpicdrama.png)
From a picture drama

(http://smg.photobucket.com/albums/v492/megalomaniageek/Macros%20for%20Discussion/?action=view&current=kanonschenzielfootwash.jpg)
From a magazine scan