Cancer itself and the treatment such as chemo and radiotherapy will cause infirm look in anyone. According to Val Kilmer's personality, he would be the last person to get plastic surgery on this planet. He could easily lose weight to keep his look in the past, but he didn't. He doesn't care and his talent has allowed him to be himself all the time. Does anyone notice his deformed Lt arm/elbow (you can see it clearly in Red Planet, Heat and the Salton sea whilst he was carried by his friend he couldn't straighten his arm)? It's said that he sustained a fracture from a work accident during shooting the Doors. It could be fixed easily if he has sought surgical treatment in time and followed instructions. I guess he discharged himself against medical advices at that time. Looking at his photo after the removal of his tracheostomy tube, you will notice that he looked much more like himself. Being overweight, a smoker and a drinker plus lacking of exercise make him prone to get cancer.
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