The makeup Esther wears to hide her true age serves several purposes: The age marks that she'll naturally get from being 33 years old have to be covered up. Even if perpetually stuck in a petite body, she'll still get naturally occurring skin marks like age spots, wrinkles, crow's feet, and stretch marks.The false teeth hide her actual rotted teeth. If a dentist had discovered these, they would have found that she both, has years of decay that go much longer than her supposed 9 years of age, but a full set of permanent adult teeth that a 9 year old shouldn't have. Her teeth are the result of the notoriously poor dental care in Estonia, as chocolate and sweets are ubiquitous in said country and can found for sale nearly everywhere, from sweat shops to school cafeterias. Estonia's dental care is also expensive, so their citizens have no choice but to prioritize other costs. The other cause is seasonal affective disorder (SAD), which strikes countries with the shortest daylight hours and it increases lethargy and depression, and as a result it causes a craving for candy. The lack of sunlight creates a need for serotonin, a substance that helps the nervous system function. It can be found in sweets.Compression wraps to hide her breasts and curves. Hypopituitarism can prevent the release of the growth hormone that allows her to normally develop (and treatment for the condition does exist, which the film doesn't acknowledge), but if she still produces enough prolactin (the hormone that controls bust size and lactation) then she will grow breasts and womanly curves, which a 9 year old obviously shouldn't have.

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