I was in San Francisco years ago and was eating at a diner in a booth. A guy sat at the counter dressed like a woman. He was obviously troubled. He looked similar to your pic. It was too sad to chuckle. Everyone sitting around him just looked at each other as if to say, “This poor guy is messed up in the head. He can’t be happy. So it is useless to laugh at him.”
When I see someone dressed like a clown...I either laugh or run away.
I was helping my uncle at his funeral home during a funeral mass. One of the pall bearers was a 6’5” cross-dresser, pre-op. The family made us aware of this before-hand so that we were prepared. But it was still shocking when “Tamicqua”, a white man, showed up in 7 inch heels, a shiny black dress painted to her body, and a bejeweled feather boa. She insisted she would be able to carry the coffin as required of her. Well, it did not go well. On the 2nd step, one of “her” heels snapped off. She bent down to retrieve it, placing the burden if the coffin on the other 5 pall bearers. The coffin tilted precariously to the left, and I was sure we were going to lose it. And as she bent down, one of her silicone breasts fell out, and rolled down the steps of the church. It was a total disaster!