Hey, you should have been prepared for the consequences of such actions.
A simple search would have revealed that the image is not real at all.
For one thing, even with a girdle, his stomach would protrude further out, as well as hang over his waistline.
His shorts, in turn, would be more fluffed out on account of his adult diapers.
Also, there are no visible skin lesions and whatever else is going on with his epidermis.