the before picture is always a really badly taken photo.. the person has no make up on, is dressed in a very flattering clothing, and always has a depressed facial expression
in the after shot its a professionally taken shot, the person is wearing trendy clothing, has very white teeth (digitally enhanced) and is smiling
so even if there isnt much of a difference, it makes it look like there is
case in point
http://www.childrenfirst.nhs.uk/teens/images/features/michelle_before-after.jpg
im not denying theres no difference.. but i think they are exaggerating it
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