No, it's clearly not photoshopped. It doesn't need to be. Have you never glanced through BME (Body Modification Extreme) photos before? This is nothing.
After I saw those twins I almost puked.
Identical twin brothers. They started chopping parts offa one and sewing them onto the other.
Like, a whole arm.
They also did and extend-O finger, where the cut the tip offa extra arm guys finger, then chopped a whole finger offa doner guy, and attached it to the end of the other guy, tendons and all, so he had a finger with something like five or six segments. Apparently it works, too.
Warning - Horrible sick shit.
http://coolnewpics.blogspot.com/2008/11/ryan-and-dave-are-most-unique-identical.htmlAfter seeing that shit I will never even look at a tattoo/piercing site. Fuck that shit.