Yep, definitely try to lose more weight, it does show a lot in your face. Also, I'd not wear that style of wig, try something a bit shorter and more appropriate for your age and face and perhaps a darker color. I'd also go easier on the eye makeup, it makes your eyes look too sunken to me and work on your eyebrows a bit. After all that, it'd be easier to decide how much ffs would be needed.
And give the hormones more time too. I know it took several years before my facial features changed enough to really show a more feminine appearance and even now I still feel I could use some work, mostly nose and brow ridge for me. And take a few side pics too, that typically shows more than a straight on pic does.
