You can tell their latest injections haven't settled well into their packages, they probably look mutilated naked now. It's a risk of silicon, especially if you inject too much at once and don't massage it into shape for the consequent weeks. I don't want to add to their dysphoria, especially the boyfriend, so I won't comment on their shape now. They just need to stop injecting.
I also want to emphasize that no matter how much precautions anyone takes when injecting silicon the risk never goes away for the rest of your life of getting a pulmonary embolism which is fatal. Not to mention the lifelong chronic inflammation that will cause other complications. Guys, do not inject silicon into your penises and ballsacks. It's dangerous and this trend needs to stop before it catches on more.
I don’t see them as having dysphoria at all, on the contrary. They are super cute together and have a lot of fun.
You are just assuming they feel miserable.
truth is, neither of us knows how they feel or what their life is really like as we base our opinion on what we see on their social media.