He's refined it since Punahou:
BHO is more scrawny than the body in the photo—that may be his face, but it doesn’t mean its his body or even his hair.
His face can be placed into another head or his head on another body; a simple photoshop procedure.
The left arm and shoulder do not seem to match the right.
The bend in the left wrist is creepy/weird.
But more important is the fact that he is a marxist hell-bent on systematically taking apart this great nation as we know it.