It almost looks like they skipped the clone stamp and just cut out the area from the opposite temple, flipped it, and then pasted it in as a new layer. I don't know why that would be needed though because he's not going bald on the sides. His temples are darker in the other pic but in this one after it's been filtered they look unnatural. Sometimes when I do extreme things like turning a filter all the way up or down weird things like that will happen in one area of a picture like that and I'll have to adjust different areas of it in different layers. If it's been clone stamped or pasted in, they could have done a better job.
Maybe she got at it. Either was bugging the artist/photographer until they gave up and she had to finish the job herself, or she felt that the photographer didn't do a good enough job so went ahead and 'did it better and in seconds!' I've had non-narc friends who either slapped a filter on (mostly free!) professional or professional-quality photos and claimed that they did a better job, or would ask me to do it (nope, no way), so I wouldn't expect anything less from Narcissus's grandmother.
Or it's one of their deliberately badly-done photoshops to get tongues wagging. More headlines, more victimhood, more social media comments, more kill right to freedom of speech/expression!
Most of their efforts seem like they're just trying to provoke us so they (and an entire lobby of similar gruesome people) can get all public opinion shut down forever. They've hinted at and openly said wtte so many times now.