With traditional adult entertainment, creators are aware of the social ramifications (e.g., social stigma, familial ostracism, difficulty dealing with the future, and so on), and there is a decent theoretical economic framework to measure that.
I am not sure if there's the same this new army of "civilians" joining OF, let alone the additional toll it will take on the creators in terms of social ostracism, future prospects, future opportunities, and mental health.
A few decades ago, there weren't that many "productions", performers were much fewer and some porn performers name were known by anyone, regardless if you had seen porn with them staring or not. A person getting out of the business and trying to make a new career would have a high chance of meeting people, especially men, in real life who might have seen at least one movie.
Nowadays pornhub and onlyfans are flooded by wannabee independent performers. Even the most addicted to porn can't possibly follow and keep track of more than a tiny subset of performers. So there is a good chance you can still have a career alongside it or switch from OF to a non sex related career easily.
I have no comment on the morals and ethics but as far as modern technology goes; most if not all of OnlyFans finds its way to darkweb | pirate | hoarder megasites where there's always a few because-we-can obsessed techlords training facial recognition, gait recognition, and seeding AI generated VR porn engines, etc.
We can be certain that any woman with an OnlyFans portfolio will face that being dragged up later in their life if they are at all slightly public.
They do have the modern available hand wave explaination of "deepfake by weird ex" that becomes more and more believable each passing day.
I fail to see how it would be limited to women with an OF portfolio and not any female with an instagram/tiktok/facebook/linkedin account? Deepfaking is an online abuse problem that can reach anyone who has a public photo online on the internet.