I would put them in the same category!
Explains the manboobies and the constant pulling at the front of his shirt and the "coquettishness" I noted earlier. Heshe was apparently taking the hormones in advance of the surgery.
Close-ups on TV showed green eyes or bluish-green contacts. Other shots have made his eyes look darker than that. I hope he wasn't trying to look like JBR. Icky-poo.