He had plastic surgery.
A little nip/tuck to try and make him look younger.
Real/Fake , nope , it’s the same old fool ,LOL
FAKE. It worked better as long as the mask stayed on.
I think we can say with certainty that they have at least one Fake Xio, who gets trotted out when the real one isn't up to a not-easily-cancelled event.
Re: 19 - What’s the link to those photos?
Maybe it is a shadow, but the “fake” has had some kind of throat surgery. It starts right above the tie and appears to be a line going to the left.