So, This is What it Takes to be Miss Gay America (Video)
The RFT also captured behind-the-scenes video at the pageant, asking contestants what it took to become the top dog in a pageant whose motto is: "Where boys are boys, and female impersonation is an art."
So no, there are no surgical augmentations below the neck for these contestants.
In one man's words:
"So, it's just like what you would see on television, it's not much different, it's just men wearing dresses and portraying the image of a woman."