Johnsey underwent facial feminization surgery and worked with a trainer , ballet mistress , and a nutritionist from the English National Ballet to help make changes to his body in order to appear more feminine .
Johnsey identifies as genderfluid and uses male pronouns .
Johnsey underwent facial feminization surgery and worked with a trainer , ballet mistress , and a nutritionist from the English National Ballet to help make changes to Johnsey 's body in order to appear more feminine .
Johnsey identifies as genderfluid and uses male pronouns .