I believe the spatial audio feature is only for supported video playback (eg. some content from Disney+, Apple TV+). It’s surprisingly immersive actually.
I think the most interesting thing here is the comparison between these hi-tech options we've got now (FaceTune, cheap and low-invasion surgery) and their lower tech analogues (ie. makeup, haircuts). These hi-tech options may be way more quotidian 10/20/30 years down the line - according to the article, the stigma around the procedures is already diminished to the point where celebrities are willing to promote it. It still doesn't feel like something I'd want for myself, but it's not hard to imagine a reality not too far off where this becomes much more common, especially considering what we know about the positive correlation between conventional attractiveness and fame/money/career advancement.