Part of it was triggered by looking at my old girl pictures. Now, I'd rather be an ugly man than a beautiful woman, that goes without saying. But 3-4 years ago, I had the foundations to be a very attractive guy. I had a good build - broad for a female (broader now on T), tiny chest, attractive facial features. A decent sense for how to dress when I felt like it.
But then when I delayed my transition for that time, I stopped caring about my appearance and depression got it's hold on me. Put on about 70-80 lbs (can't remember now but at least 70), which made the chest grow two sizes and buried my attractive facial features, I started throwing on whatever clothes I could find, and I let my health go in general, which has caused my skin and eyes to really dull out. Though I am happier now, the appearance never seemed to bounce back and I still have an oddly sick look to me.
I am working on losing weight to minimize excess skin during surgery, but in the meanwhile, goddamn it. I feel so ugly. This is really weird for me. I never care about appearance. But tonight, I just looked at the old pics of her and thought "if I didn't let that go, I'd be a hot guy by now. Instead I'm a fat, nerdy, slouchy guy who can't dress himself."