I remember 1½ year ago when I went to Malmö Aftonbladet had this big headline about Putin's health. Nothing happened though and Putin is still alive it seems.
Putin is alive and well and so robustly healthy he can be in three places at once! Just don't ask about the funny-looking cheekbones that he, um, sometimes has and sometimes hasn't.
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Putin has also been known to have a bloated face likely due to big corticosteroid doses.
So depending on his health he may look different. Seen this effect up close with people and it can be quite dramatic.