https://imgur.com/Fb62uj5https://imgur.com/xwVVpZBme in 2010 before plastic surgeries
i had ear pinning surgery, bilateral sagital split, lefort 1, rhino and septoplasty for crooked nose and had to use palatal expander and braces for 5 years. Also had two canthopexies (i think it was canthopexies not canthoplasty) and multiple fat injections in the malar area. Doc said i had mild treacher collins syndrome. Also i looked sickly
Fast forward to 2017 and i looked much better despite being overweight (92 kg) which caused me problems like sleep apnea for example.
https://imgur.com/2kd1cJ3https://imgur.com/mJQZYmEI'm now 43 y/o, my weight is 75 kilos and my height is 1.77 cm tall. I think i'm looking sickly again. I had a GERD surgery in last May and my weight is dropping like crazy, i dont have the need for a CPAP anymore as the OSA dissapeared completely but this is showing in my face as you can see in the next picture.
https://imgur.com/LPoCqA7The facial fat is gone due to the extreme weight loss and my malar area looks like it needs improvement and that's where i think the sick look comes from, lack of undereye area support and malar projection.