He's a 52-year-old medical doctor who goes by the name Ayaka Ogawa when living out his cross-dressing fantasies of being a woman in her mid-40s.
"As you see from my (cross-dressing) age, I look young when I disguise myself as a woman," the doctor, who only wanted to be identified as Ogawa, said in a recent telephone interview. "I feel good being told I look young."
He takes care of his skin because he wants to keep being praised, and says he looks more youthful during his cross-dressing ("josou") life.