Why is it so pale around his eyes? What does it mean?

>He doesn't look too healthy
no shit he has the fats he hasn't looked healthy for a few years now
Unironically he looks overworked, probably having trouble sleeping
I know he's using his presser to reach out to the American public but it feels like he's overreaching as a result of agitation, while he has all reason to be agitated I just hope it doesn't come back to bite him.