Born with two faces, one located conspicuously behind him, the doctors decided to leave it be. After all, it was merely skin accompanied by no organs or anything of its own.
His parents did notice he had a tendency to talk to himself a little more than normal and a little longer than was age appropriate. They saw him ask them to do something about it soon enough, it’s a terrible thing to carry and the stares must have really weighed him down.
But what was truly frightening was how they remembered him crying to himself, telling them it whispered things in his ear, and it smirked when he smiled, of how it sneered when he cried. What reminded them was a quiet two faced smile, a silent arrangement from the wrong directions.