Like, he's been on a binge since 17, because of his make up . His mum got into an accident when he was in utero, so his skin is like, one big brain. When he drinks, he isn't in pain, and Tony is just constantly moving. I also think it depends on the artist. Joe Madueria (his scans aren't on here, sorry) tends to draw people cute, so Tony tends to look cute. But yeah, Tony looks a tad older here, although his body doesn't have the alcohol bloat.
I think it's the alcohol