Those factors are also plausible, though I believe homosexuality is on the rise as a factor, especially with this current generation and the many minds that are affected by certain types of media.
Surgery can be successful or unsuccessful, though psychologically it's a different story
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In this day and age a lot of things are normalised to be sexualised due to the effects of pornography, so I think many people would assume that this profile picture has the goal of being sexually suggestive.
I don't think talking about this topic especially on this forum is a good idea so maybe stop here