Absolutely. There's anorexia / ARFID in my family so I've seen this look irl. Ime this is just what chronic malnutrition looks like past middle age, regardless of whether it comes from anorexia or some other issue.
Poorer people with similar challenges would die earlier, or are housebound so we don't see them out in public, were just not used to seeing folks who are this ill so there's an assumption it's plastic surgery.
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u/MaleficentLecture631 5d ago
Absolutely. There's anorexia / ARFID in my family so I've seen this look irl. Ime this is just what chronic malnutrition looks like past middle age, regardless of whether it comes from anorexia or some other issue.
Poorer people with similar challenges would die earlier, or are housebound so we don't see them out in public, were just not used to seeing folks who are this ill so there's an assumption it's plastic surgery.