The most recent picture is the top photo and the bottom photo is an earlier picture. In his recent picture, he looks to have puffiness around his eyes. That sort of periorbital edema is usually affiliated with the heart or an allergic reaction. If he was having that type of allergic reaction he would be in an ER.
With digital photos who knows for sure.
Trump is a Putin wannabe. A report today states Trump is tweeting about the sixteen-year-old woman at the UN General Assembly that spoke regarding the Climate Crisis. Trump is following the example of Vladimir Putin:
October 2, 2019
Moscow - Russian President Vladimir Putin (click here) on Wednesday took aim at teenage climate activist Greta Thunberg, telling an energy forum he did not share the excitement about her United Nations speech last month.
The 16-year-old Swede electrified the UN summit in New York when she denounced world leaders for failing to tackle climate change, unleashing the outrage felt by millions of her peers by demanding: “How dare you?...
So, Trump follows Putin regularly. Out of fear or admiration?