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Jackson's skin had been a medium-brown color for the entire duration of his youth, but starting in the early 1980s, it gradually grew paler. The change gained widespread media coverage, including rumors that he was bleaching his skin. In 1986, he was diagnosed with vitiligo and lupus; the vitiligo partially lightened his skin, and the lupus was in remission; both illnesses made him sensitive to sunlight. The treatments he used for his condition further lightened his skin tone, and, with the application of pancake makeup to even out blotches, he could appear very pale. The structure of his face changed too: several surgeons speculated that he had undergone multiple nasal surgeries, a forehead lift, thinned lips, and cheekbone surgery.
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He lost weight in the early 1980s because of a change in diet and a desire for "a dancer's body." Witnesses reported that he was often dizzy and speculated that he was suffering from anorexia nervosa; periods of weight loss would become a recurring problem later in life. Some medical professionals have said he was suffering from body dysmorphic disorder, a psychological condition whereby the sufferer dislikes his appearance and has no concept of how he is viewed by others. He had a fourth rhinoplasty in 1986, and had a cleft put in his chin.
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