Jackson’s skin was a medium-brown color for the entire duration of his youth, but starting in the early 1980s, his skin gradually grew paler. This change gained widespread media coverage, including rumors that Jackson was bleaching his skin. In the mid-1980s, Jackson was diagnosed with vitiligo and lupus; the latter was in remission in Jackson’s case, and 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 as well; several surgeons have speculated that Jackson had undergone multiple nasal surgeries, a forehead lift, thinned lips and a cheekbone surgery. Changes to his face were, in part, due to periods of significant weight loss. Jackson lost weight in the early 1980s because of a change in diet and a desire for "a dancer’s body". Witnesses reported that Jackson was often dizzy and speculated that he was suffering from anorexia nervosa; periods of weight loss would become a recurring problem for the singer later in life. Some medical professionals have publicly stated their belief that the singer had body dysmorphic disorder, a psychological condition whereby the sufferer has no concept of how he is perceived by others. Jackson had a fourth rhinoplasty and, wanting masculine features, had a cleft put in his chin.
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