Well... yeah.
To begin with I've had a life-long struggle with gender dysphoria. So there's that. Plus I have a crooked nose that was never repaired thanks to a gang of boys that bullied me throughout high school.
And now I'm aging. So my face is just a wrinkled up mess to boot plus I'm losing my hair... at least the hair that's on top of my head. Everyplace else it grows like wildfire. I sometimes joke I'm turning into a chimpanzee. (Oh... & I've had a lazy eye my entire life too.) So do I have a problem with the way I look? You betcha...
The good thing is, at my age, nobody's looking anyway...