A transsexual dominatrix has undergone 20 cosmetic surgeries to make her look like a sex doll and she plans on having four more to attain the desired effect.

The 26-six-year-old dominatrix, who is also a professional makeup artist from the north-eastern German capital Berlin, goes by the stage name of Ivana.

The trans woman has had 20 cosmetic surgeries since the age of 18 in order to look like a sex doll.

So far, Ivana has had five nose jobs, three boob jobs, eyebrow lifts, a jaw op and had her earlobes reduced, among others.

According to reports, she has spent around 100,000 EUR (87,072 GBP) and now has a breast size of 95G.

Before going under the knife, Ivana was not satisfied with her looks and how she was perceived.

She said: “Before, I was simply ugly. I was ignored by men and was always ‘nice but not beautiful’.”

Now, the living sex doll has 96,000 Instagram followers and gets lots of attention.

Ivana said: “Other women laugh at me, they say that I look like a sex doll. Then I just say ‘yes, I want to look like that.’ That is a compliment to me.”

Her role models are deceased porn actress Lolo Ferrari, who was said to have had the largest breasts in the world, and 90s porn stars in general.

Ivana has been working as a dominatrix twice a week for seven years which has helped to pay for her sex doll look.

She still has four more surgeries to go, saying: “I do not want to be normal at all, I am oriented towards dolls and I strive for perfection.”

According to the trans woman, her treatment has caused friction with her mother who does not want to be seen with her in public.

She said that she has not had any significant romantic relationships either.