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They both have a birth mark in the same bicep location (he's buffer now, and the crotch pic is definitely when he was a bit younger), and he has the same rough, veiny, and manly hands in both pics.
If it's a fake, it's really well done. (I don't know why I circled the blue shirt, ignore that.)
On the opposing side, the Twitter account that posted it DID lock their account, but they're also getting a lot of flack from people who are upset about the picture because it ruins their "perfect image of Lewis being a soft, sweet boyfriend type".
I'm sorry: You can't assume anyone is anything. If this tells me anything, it tells me he's DTF, which fuck yeah, cause I'm very DTF him.