I don't think it looks bad... Need more of a front shot to be sure.
His voice sounds slightly better since the "rest" period. But I honestly think his voice is this way because of whatever he's been doing off the stage since the VR Libertad tour. That is around the time when the change happened (and I think when he fell off the wagon). Be it drinking, smoking and mixing that with whatever prescription meds he is on. One day I think it will be better (re: health).