Odd looking bulge in his cheek in the upper picture. I’m not seeing the earpiece, though.
The bulge is weird. I once posted a picture that a Doc told me looked like he had a shunt behind that ear.
When I first saw the pic I was so focused on the bulge and the stare I missed the earpiece.
It looks like he's clenching his jaw muscles (grinding his teeth?). The picture of the right ear isn't as clear and only shows a shinny reflection which might be plastic. The photo of the left ear however, shows something that could be an ear bud in the ear canal.
Regards,
GtG