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Well, since he has this skin desease Vitiligo, he always uses a lot of make-up to cover up his skin, and he had some nosejobs.
I think he has a plastic surgery addiction. Vitiligo does not explain the changes seen in his face over time, not even including his nose. Look at his cheeks, eyes, lips, eyebrows and chin and compare them to a shot of him in 1980.
Now whether the charges that have been brought against him are true or not is not something we can really conclude, but he did settle a civil suit out of court for an estimated $20Million over similar accusations in the past. Even if he's totally innocent that will reflect poorly on him at trial.
He readily admits to routinely sleeping in the same bed with several other peoples' children, which could be totally innocent but which will also reflect badly on him at trial,
Off the Wall is still a great album, just like
The Pianist (cripes) is a good movie, despite being directed by Polanski...