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Kybella Double Chin TV Ad: Are the BEFORE & AFTER Photos REALLY Unretouched as Claimed?

Perhpas you've seen the recent TV ad ("Ancestors") for Allergan's Kybella, a new drug approved for the treatment of double chins (read "Pfizer May Own Your Penis, But Allergan, Maker of Botox & Kybella, Owns Your Face"). The ad claims that double chins may be inherited. You can view it on iSpot.tv here. To prove the efficacy of Kybella, several screens are devoted to showing BEFORE and AFTER photos as in the following example: You clearly can see from these "unretouched photos" of an "Actual KYBELLA patient" that the double chin is gone.
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