Taken from chan sankaku. Apparently it was from the artist's nuked pixiv account.
Tagged as bad_anatomy for the hands.

magthefma4 said in comment #2472090:

Taken from chan sankaku. Apparently it was from the artist's nuked pixiv account.
Tagged as bad_anatomy for the hands.

I don't think that is bad_anatomy, it was done intentionally. For people with a newhalf/shemale kink, the large, masculine hands are an emphasized point of attraction. I think this artist commented about that directly at one point, which I will look for.