Elinore Pheasant, 23, has suffered with anxiety and depression since she was a child.
Beauty standards
Nicole Thornbur goes to specialist studios in Manchester that teach trans women how to be more feminine.
Toni-Ann Singh was given the title on Saturday's event in ExCel London.
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Kelsey Vlamis
BBC News
Black women hold four major pageant titles, but black pageant winners say there's more to the story.
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The 26-year-old from South Africa has been described as being "a proud advocate for natural beauty".
Read moreFfion says she felt "so insecure" when she was Miss Wales as she does not think she is pretty.
The images of women without make-up aim to show their "confidence to face the world the way they are".
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A student photographer used beauty salon products in alternative ways to come up with her winning images.
Read moreWomen in South Korea are posting pictures of themselves online wearing no bra under their clothes as part of a growing women's movement in the country.
James Waterhouse and Kirsty Grant
BBC Victoria Derbyshire programme
Meet the woman who won the 2019 title, the day before starting her career as a junior doctor.
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