Yes it could be done quite easily!
I’ve been skinning deer heads for 32 years and the pic looks very odd!
I’ve never seen a deer laying on the floor with ears like the pic shows. This happens after the ears are cut off the skull and yes ears come out of the skull not the neck. Look at his right ear! The deer’s left ear looks legit from the angle but wow not the right ear.
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Another thing that is odd notice how every point is almost exact to its mate. If the rack is legit this is nature at its finest. A 220 gross buck with 4 1/8 inches of deductions.
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The color of the bases up to the brow tine also looks odd to myself! Real or not we’ll probably never know just my opinions