I saw this and thought, okay, if it is the same person and not someone else, what could cause this earlobe attachment? Just looking at Biden's taught skin suggests he has had facelift surgery. It turns out, earlobe attachment can happen. From a plastic surgeon's information on the worry of patients that the surgery would be obvious: "One such telltale sign [of having had a facelift] is that of the changes in the earlobe. If too much skin is removed around the earlobe during the lift or of there is excessive tension on it during closure, the earlobe will eventually change shape. This occurs where the earlobe attaches to the face and it becomes stretched out. This has been described as a pixie ear or satyr ear. No matter what its description, the earlobe changes from a rounder shape to an elongated pulled-down appearance. Around the stretched out earlobe will appear the facelift scar as a fine white line as it attaches to the face." Comparing the image below this text to Biden's earlobe, it is definitely possible to be the cause of this change.