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.
Does look a bit silly with the the scale of the arms and legs. Is it only ever ab day?