I don't see anything wrong with the way you look. I think Anika and some of the others are right, it's the way you see yourself that's hurting you, not the way you look. Are you able to work with a therapist? They may be able to help you with issues of self esteem. My self esteem is terrible, it's something I have to work on, but I'm lucky enough that my body image isn't part of it. I'm just your average (ignorant) guy, but some of the ladies here may be able to help you with ideas for some of the "little things" like hair or makeup if you need to feel that you are doing something outwardly too. I think the best change you can make is inside yourself. Best of luck.