They fix all of that in surgery. The 'feminizing' surgery includes:

~Shaving down the jawline bones

~Shaving down the Adam's apple

~Hair transplantation to make a rounded feminine hairline

~Brow lift to give an open eye expression

~Botox to soften forehead lines and crows feet

~Facial fillers to soften the face, plump the lips

~Rhinoplasty (if a smaller nose is needed)

~Laser treatments to smooth the skin and remove beard hair

~Breast implants

~Removing or inverting the 'P'

~Even dental shaping - square teeth edges = male, rounded teeth = female

It can cost many thousands $$$ to accomplish this.