What dose are you on and what are your blood-levels if you have them? A lot of places want to underdose you, so that could explain unsatisfactory results. Also, it’s quite hard to tell from the picture (I’m kinda face-blind and your expression doesn’t make it easier to tell things), but are you sure it really is that bad or might you just have overly high standards? And I’ll add here that being pretty and passing are two different things as well!
Lastly, and I know that this is an uncomfortable topic: If you want to pass, shave above your upper lip and cover any remaining shadow up with make-up. That is the only thing that really sticks out to me as a telltale-sign in the picture.