give the guy a watch or something, that'd look rather comical =D
as for a setting, i'd go for a very common and public place, rather than a dark murky area.
it'd make for an interesting contrast!
His esophagus has clearly developed abnormally. Elephantiasis of the right arm. Cataracts in the left eye (in the last picture), with possible advance stages of leprosy. Awesome pants. I'm surprised he's still alive, but he will definitely have problems fitting in!