I've been wanting to do this for a while....
Often times I read that people are impressed by how before and after photos look. I have taken the time to photograph myself in 8 different lighting conditions and post them on a website. Note that this was done on the same day, at the same angle but that each was taken with slightly different lighting. I did this in the hopes of educating people to realize that even though before and after photos may look impressive, looks may be deceiving. If before and after photos are to be properly judged then the lighting must be as consistent as possible. Lighting won't ever be perfect, but the more consistent it is, the more accurately you can judge before and after photos.
Also, this will help explain how sometimes you look in the mirror and see yourself differently -- it's very dependent on lighting.
Before and after photos are so unreliable as to render them usless in judging outcomes of procedures. Your post is brilliant in exposing this fraud. If I was you I would start a ' before and after skin procedures" web site to illustrate this fact. I think many potential skin treatment people would stumble on your site and become much more savvy when viewing before and after photos on doctors websites. I think an expose is in order.
James
This is yet another incredibly enlightening post from you, Tamara; once again, thanks for taking the time to put all this information together. We are lucky to have someone like you here to provide us with such useful stuff!
By the way, I agree with the others who have said your skin seems to have improved since the last pictures. Maybe this is evidence of the long term effects of needling...? 
Thanks again! B)
Thanks everyone for your comments.
I agree -- Just because a photo hasn't been touched up, doesn't mean that there aren't other things that are making the skin look improved. Other elements that can play a part are: angles, reflectors, filters, light/dark clothing, makeup, etc.... Unfortunately most people aren't aware of these things so they buy into the idea of perfection.
James - Your idea is interesting, and that's essentially why I put this webpage together. I wouldn't be able to use other peoples' photographs because of possible copyright infringement though, so that is why I chose to use my own photos. Perhaps, eventually I will make a few other pages on the elements listed above.
Rossignol - Yes, I attribute my positive results to two sessions of needling and weekly lactic acid peels.
In a very bright light I can see my scars in all their uglyness
In a normal/average light my scars are hardly noticable
I know how you feel when you wake in the morning, you wish your scars would just disapear. But they don't. I feel your anger and depression, and i pray that we can all get through this together in life.
Hardcore Til I Die
The link in the first post doesn't work any longer: http://www.tamaramadden.com/Lighting/Lighting.htm
Can someone post a link that works? Thanks!