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As for your friend, there's no way to really build self-esteem in someone else. That is something she will have to do by finding that she can and has overcome things in her life that have been obstacles and mountains, and that she has done it.
Life doesn't treat us all the same and it can be very hard for anyone who transitions and "doesn't blend" with their true gendered compatriots. Most of us go through a stage where we are in-between and others never quite make it out of the in-between stage. That can be extraordinarily tough, especially when someone wants to "be beautiful" or such like ideas.
Even with plastic surgeries "beautiful" can be pretty much off the cards for many.
That said: there are also women who invest themselves in their own misery. That is a terrible place to be, but much as you feel for her and want good things for her she is gonna have to begin to want some of those for herself for a difference to occur in her life. You cannot live both your life and her's, even if you could what would be the point?
I understand about "redneck" places. I've lived in more than one in my life, but even in redneck places a person can make her way if she makes some attempts.
It sounds like you are doing all you reasonably can with your friend to help her. Don't feel badly or not be excited and pleased with your own progress to make her "happy." My experience tells me she will not be happy and instead simply put a damper on your happiness.
This is her stuff that she needs to make a major effort to get through. But, to do so she's gonna have to learn to believe, at least somewhat, in herself. You can help maybe, but cannot do it for her.

Nichole