The before & after photo that you see has not been altered in any way. There is no better product on the market for healing scars, skin blemishes and hydration issues. This women applied TheraSCAR two times per day for 5 weeks and the results are simply amazing. This is why 90210 Hyperbarics believes in this product. When they say that TheraSCAR is "Like a Cosmetic Surgeon in a Bottle", these results prove that to be the truth!