He looks the same. Only the lighting is better after. Good lightning like that will wash out any contours and make it look like there's been improvement.
Kinda like how my PRP doc (hair ""restoration"" treatment) used camera flash directly aimed at my scalp in the pre-op pics, and then proceeded to use room lighting for the same poses forever after to mask the additional hair loss he caused? Makes sense!
Your doc is an IDIOT who over promotes his capacities which are lacking. (I know which one it is.) You should review him on RS.
Not idiot, con man.