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I had set the game to Ultra for that screenshot.

EDIT: Turns out since I was deleting WTF between attempts at restarting the client, it wasn't loading in on Ultra and some changes don't take...

Can't seem to fix this, only information I've found was to clear Cache and WTF folders.

That didn't work.

http://i.imgur.com/uCnGZpD.jpg

Seems to be mostly the lips.