That I can see. I think his asymmetrical jaw when he talks goes a long way to show he’s tweaked too.

I'm not up to date on the latest lingo, does this imply plastic surgery?

Damn son, looking like that after doing plastic surgery is... tough.

and having that level of unfounded confidence despite looking like a coomer gremlin

Nothing is easier to fake than confidence. I'm not at all sure that Density has any more confidence than a parent who knows his kid is stupid and ugly - but you have to put up with it anyway.