He seems to have swelling of the face and around the eyes. The eyes can be accounted by his notorious inability to sleep, but the face, that could be kidney failure.
@hector@georgetakei This is what I've been saying for a while now. He could be getting covert dialysis from his White House bedroom three times a week (it's not like Melania would notice or care), and it would also explain the cankles, the hand bruises, and his frequent overnight rants on Temu Twitter.