I just saw Elliot Paige topless. He sure doesn't look like the other trans males topless. No scars if any.
I propose the idea that Elliot Paige has always been a boy, insecure and living as a trans girl due to his lack of size. Now as he grows older, he is secure in being a man.
I would maybe take a closer look at the photo Big red scars where her breast were removed and you think they abs are real? FFS
Ah so pec + ab implants?