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Unfortunately, it SEEMS as if these are two different individuals.  First photo, looks as if he has crappy hair.  Much better on the 2nd photo.  2nd photo, angle is totally different.  What medications is he doing?  Nice response to medical therapy.  I gather you placed the grafts in the front?  

I've worked with a number of clinics and doctors.  Photos are huge.  They can truly showcase the work.  There are a number of techniques that can be used to get great photos of before and after.  This set is just a bit lacking.  

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