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[–] Spuddlebuns ago 

Having played with Photoshop for many years, I have to ask, doesn't it strike you the least bit odd that with all his fingers showing scars, veins, wrinkles, and normal skin discolorations, that this particular portion of that particular finger shows NO variation in skin tone, and is ever so slightly misshapen, with a small horizontal line which could designate the edge of a bandage? It is nigh impossible to tell photo editing, but the COLOR of that portion of the finger is smooth, and slightly lighter in tone than any other part of any of the other fingers, including the top of that finger. It is too unnatural looking and the color is too smooth. Something is amiss.