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He has admitted in the past that he uses collagen and Botox, plus he is way too pale here. He usually likes a fake tan - ever since he has been famous, he always had that sun-kissed complexion.
I think this talk is quite cheap, but I also think he may actually started some heavy-duty skin work - surgeries etc. I had seen a pic of him two years earlier at some hearing for her new house construction in New Mexico, and he had visible furrows and lines, as yto be expected from a middle-aged man. But nowadays, nothing.
He is a clever man so I do not think he will go crazy with needles. He just tries to preserve what he has, but he looks particularly different here.
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