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the main reason for that is that the mutation was less severe as a child but has grown out more overtime! while it isn't as messy now he got used to wearing a cover during elementary and junior high.
the mask he's usually seen with is worn over it. This has multiple purposes. First it make him easier to draw for others. but more importantly it helps him breath and eat properly without causing a huge mess. Also because his original appearance tended to spook kids
while the design has varied a lot original Yuki lacks a normal human jaw. He often mumbles and messes up words leading to him being really quiet in general.
he also has an existing design variant as a pokemon gijinka as a shiny Snorunt/Glalie
Gonna try something fun. For every like this gets I will give one Yuki fact
Krishna has the funniest difference between concept and final though. They really had a white boy lined up
man the new look really is such an upgrade over the original outfit