Also, keep in mind that how you present in live situations can have a much greater impact on how people perceive you.
From the pic, you look fine to me. Work on voice and other aspects of your presentation if you aren't doing so already. Something I've been doing for a long time, off and on, is to spend a day or so looking at presumed women in the real world (avoid holding yourself to the photoshopped standards of magazines or other still photos). When you look at ALL the women you meet day to day, rather than just those whose lucky genes or access to professional shoppers gives them an added boost, you'll start to realize that the range of female appearance is pretty wide, and start to think more about how to be the woman you want to be, given what you have to work with.
Also keep in mind that plastic surgeons can't buy their cars and houses if they don't work on our insecurities -- and by "our" I'm referring to almost anyone who identifies as female, and more than a few men as well. If it's something that you really do want, and can find a way to get it, go for it, but don't expect it will really eliminate the inner sources of insecurity. Learn to act confident, and at least some measure of real confidence is likely to follow.
