Seriously, AFAIK, it rarely "worses". There are many cases in porn (Dredd, Brickzilla, Danny D - lightly -, Brick Danger, Alexander TdA), even among trans models (Yasmin Dornelles, Laura Saenz, Fabiola Voguel, Stefany Heaven, Patricia Bacelar... well, Sara Salazar) sometimes even more pronounced (Castro Supreme, if you remember him).