There’s been some major photoshopping/retouching done to that photo
This is going to encourage confused kids to beg their parents for this, or borrow money and do it when they turn 18, not realizing that they'd need half a million dollars' worth of surgery to end up looking like a halfway decent woman rather than a ruined man. They are headed for lifelong misery.
I also can't help thinking that there are tens of thousands of poor kids who can't even afford cleft lip/cleft palate surgery, or cosmetic remodeling of a malformed outer ear or digital (finger) abnormalities, but here's Big Bruce blowing many hundreds of thousands of dollars so he can look good in a dress.
It's like those fool women who go through multiple surgeries so they can look like Barbie dolls.
It's so wrong.