The photo highlights one of the reasons that some men believe they can become women. For so many men and women now, 'womanhood' is equated with something entirely artificial - a weird sexualised parody of a normal appearance that is achieved by surgery and other interventions.
Some posters have expressed doubt that the victim in this case could really have believed this to be a woman. I believe it, though, because the perpetrator has purchased everything necessary to create (from the waist up) the porn-addled facsimile of womanhood that is purchased by so many actual women to replace the realities of a female appearance.
The specific and age-old reality-denial associated with men experiencing themselves as women has been significantly inflamed by a wider unrealism. In addition to excessive make up and cosmetic procedures, we also have photo filters, AI-manipulated imagery and the whole business of having a fake version of oneself online. We're all less anchored in reality now.
What a fucking awful world.