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Originally Posted by Pudding
Has Steinman ever been a picture of health? I think the swollen part is fat, as Andrew Lloyd Webber once put it after they had a meal together "Steinman doesn't have an eating disorder, he has an ordering disorder"
Pud 
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No. If you look at the rest of him, the swelling is disproportionate around his jowls and face. This could be one of two things: stroke related symptoms, or the side effects of steroids (a popular cancer treatment).
As for the smile, my gandma-in-law has that smile, and after 3 strokes, she's a vegetable, the smile is all she has.
Still hope I'm wrong, though.