They switched Pelosi out in November. Likely right after Germany raid. Take a look at both videos.
https://www.youtube.com/watch?v=V4LoGsGnQs8 October 2020
https://www.youtube.com/watch?v=azPU-5Pw00Y November 2020
In response Ghost Ezra to his Publication
Most definitely the hands!! Idk if you can get Botox everwhere, but that 'second' NP for sure has younger looking skin, face and slur in speech is different as well. Not to mention the scarf in the way of the freckles on her neck/chest...? hmmmm....