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Mary,
He is an adorable little boy and of all the pictures I like number one the best. Here is my opinion though coming from my experience in plastic surgery. I think I would try to get his head in an oblique position with his eyes looking at the viewer. He has wonderful eyes, but his ears distract from this. In an oblique position, his ears will not distract from his face. I am just concerned that when he is a little older he may want to have his ears corrected to lie closer to his head. This is a rather sensitive subject and I would not mention it to the parents but rather would try to camouflage it with a different angle.
I only mention this because of my experience with teenage patients. They are extremely happy after the surgery whereas before the surgery they were very self-conscious about their ears. Try some different angles in another shoot.
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