A thicker jaw, lower eyebrows and a protruding bottom lip - images of the facelifted fugitive who allegedly killed Briton Lindsay Hawker were released by Japanese police today.
Tatsuya Ichihashi, who has been on the run for almost three years since Miss Hawker's naked and battered body was found in a bathtub full of sand at his flat in Tokyo, had plastic surgery to help him vanish, officers believe.
The suspect, now 30, is thought to have invested in cheek implants and lip-thinning treatments in an operation a fortnight ago.
The new photograph, believed to have been taken before he underwent the latest surgery, shows he had already undergone extensive changes to alter his appearance.
Relatives of Miss Hawker, 22, previously said they had not been contacted by police about the development.
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