Wow, his physique has deteriorated to a remarkable degree.
This is a guy with issues who needs professional councilling. I mean it. He is clearly addicted to drugs and/or applause from ... well, anyone.
Every bodypart is decomposing in its own distinct and troubling way.
Markus, if you're reading this, please seek help and stop the madness. Your body is begging for mercy. You cannot see this as you're in the grip of a brutal addiction.