I think you guys are over-exaggerating this time. His sketch still shows a slim, tall, tits out, tight outfit woman. The overall facial look is just his graphical style same as Shinakawa that doesn't do super detailed faces for MGS games in his art. It's just his style. This guy is just a character designer, he isn't the one that models these and turns them into fat ugly lesbian shaved turds in blender/U5 or whatever they use.