Is this after before photo real or fake (check description)? Are these two women different or same?

G_oogle_Y_i_ndians_r
Is this after before photo real or fake (check description)? Are these two women different or same?
It's real
Vote A
It's fake, she is different person
Vote B
Select age and gender to cast your vote:
GirlGuy
Updates:
10 mo
Here is the pic. Forgot to add in description https://pasteboard.co/JrmUuQS.jpg
Is this after before photo real or fake (check description)? Are these two women different or same?
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