to the forum! Your pictures are quite blurry but if you're talking about the hole in his cheek it's most likely PMD. To truly say definitively what it is, I would need clearer, better pics.
Looks like someone used a bic pen on that area. It probably isn't pushed out on the reverse. But if it is pushed out, then it was hammer with something small and strong. Perhaps a nut cracker pick? But I'm thinking the reverse is not pushed out.
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