One of my friends is absolutely hideous: his physique has earned him annoyances all his life, and sincerely, even I took a long time getting used to ...
But today he is no longer complex, and he takes a minimum of care. While he is still not "handsome" but he likes more in his role of victim, and he who is a 2/10 out with a 6/10 for 1 year now.
More than the physical, what matters is self-confidence, and personal investment.