There may be available to these celebrity trannies more advanced reconstruction than what the average person would get during their transition.
I'm thinking about breast cancer surgeries. Poorer women get a slash where there breast used to be, richer women like Angelina Jolie pay more and get to retain their nipples and are operated on in such a way that they can have breast reconstruction after their surgeries.
It might be the same for the fake vag surgeries.