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[–]One_Jack_Move 3 insightful - 1 fun3 insightful - 0 fun4 insightful - 1 fun -  (1 child)

After a little searching, supposedly this is a known side-effect of a facelift called "pixie ear".
Not sure how legit that is because it's hard to imagine your skin changing that much, but take from it what you will.

[–]jet199 3 insightful - 2 fun3 insightful - 1 fun4 insightful - 2 fun -  (0 children)

Between the 2 pics his skin gets more lines but not saggier, that made me think of a facelift.

I mean Biden wears just as much makeup as Trump so he's definitely vain enough.