Has He or Hasn't He?

Moving directly past the whole "is this video legit and is he still alive?" issue (yes it is, yes he is because we've been busy in Iraq rather than pursuing him), I'd just like to ask you one question:

Has OBL had work done?

I know they're saying he has a fake beard because he may be hiding in Malaysia or somewhere near (what?! NOT Basra or Tikrit?). But beyond the beard, as the guy on Awful Plastic Surgery says to avoid legal troubles, "he looks....different, doesn't he?" Younger but sicker? A bad brow lift? I'm not sure. The past 6 years may have been good to him propaganda-wise, but they have clearly been unkind to his overall Scary Tribal Warlord image. Especially since this administration obviously doesn't find him scary enough to bother tracking down.