A transgender woman from Italy who hid her desire to change sex for 40 years says she's spent £52,000 trying to achieve the perfect female body since coming out.
Fulvia Pellegrino, 56, from the small town of Peveragno, has undergone a series of gruelling procedures to achieve her current look including more than 150 lip and cheekbone fillers, four breast implants and two rounds of liposuction.
Pellegrino, who was born with the name Fulvio and has the full support of her wife Marisa, has also spent nearly £9,000 on surgery on her bottom and is now planning even more.