Hardly looks to me like you need to be considering FFS before even HRT. Give estrogen time and you'll be even more surprised. By the way, better skin, makeup and pretty eyebrows come considerably cheaper than US$40K.
Don't want to be a party pooper, I just think that given your facial structure and if you were sporting a more female hairstyle you could look very pretty (not merely passable) after some time on HRT.