The biggest difference between shemale and normal women is that they are men and have normal male characteristics. So they later went to some hospitals for sex change, made some changes to some parts of their bodies, and also had breast augmentation to make themselves concave and convex. But generally speaking, their own bodies are masculine and will appear stiff, so they will constantly inject some estrogen into their bodies from an early age to gradually soften their lines and improve their skin problems.
As for the problem of obesity, they generally control their eating habits and keep exercising every day, just like others, so as to keep their bodies so slim. When they go out, they usually choose makeup to make their faces more delicate.