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Photos of Barack Obama on Election Night 2008 look like they were taken much longer ago. Now his face has deeper creases and crow’s feet, while his hair has turned white. “You look at the picture when they’re inaugurated and four years later, they’re visibly older,” said Connie Mariano, White House physician from 1992 to 2001. “It’s like they went in a time machine and fast-forwarded eight years in the span of four years.”

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