I honestly think any woman that has plastic surgery should be DQ'd from events like this.
A lot of transsexuals starve themselves because if they don't they tend to have a manly frame.
This girl looks pretty decent, early hormone therapy is key imo. Still has a bit of that plastic surgery look which is a shame.
I've never really heard anything to your first point.
She went through hormone therapy when she was 14. Like shidoshi pointed out, that probably affected her development a lot since she wasn't a fully-developed male by that point.