He's IMO looks like he lost lots of weight compared to another photo I saw. Could be he has aids or was going for a sex change before being caught, especially could be based on others breast comments concerning him.
Is that area known for logs of aids or sex changes?
Thailand is known to be a sex change center; you may have something there.
Well he might have flabby breasts if he has lost a lot of weight recently. He look in physically ill no doubt.
He does look like he is physically sick. Isn't Thailand know to be full of AIDS?