@SayYouDontMind
I wonder if she has a moment's doubt about whether what she's doing is always in the young person's best interest? She offers to pump fat in to the waistline while she removes breasts to "masculinise' the waistline. And to remove double chins while she's at it. Foxfisher just had the waist done as a 30 something transman. There's always something that won't feel right. The dysphoria just shifts to somewhere else. And the surgeons just mop up. A huge amount of her clientele seem to be overweight young women who don't conform to the female Instagram aesthetic.
There was a very interesting comment on a fruit based forum that questioned why these females don't do the most obvious thing to "de-feminise" their figures: weight-train.
It would be, by far, the easiest and cheapest way to reduce breast size, lose body fat, reduce a hip to waist ratio, increase muscle mass, and move towards a more boyish figure.
Yet apart from a few notable transmen, Buck Angel for example, these young female patients opt to go under the knife instead.
This suggests to me that the gender motive is not really what it appears to be.