All these people who think they're ugly, usually aren't, and it often reeks of attention seeking in some form. Especially the kind who go and hack themselves out of photographs and such like.
I have a relative who thinks she's ugly and supposedly has impossibly low self esteam, but it's clear to anyone with half a brain that the girl is just using all these "insecurities" she has to manipulate everyone and get all the sympathy. She enjoys playing the woe is me card far too much and always makes other people out to be the "bad guys", and you can see that she revels in it. She's a very sly person and has fooled quite a few people into thinking she's this frightened little creature when she's actually just very sneaky and selfish. Drives me up the wall...trust me, guys, you will NEVER want to live around a person who has these type of issues.