I can only speak for the United States and Australia here, but in these places, the first and, in many cases, primary thing people judge us on is our outward appearance. I know this because my job often involved dealing with people who wanted to change their appearance, for a variety of reasons. We could have a giant discussion about the role of sales and marketing campaigns, the fashion industry with its ridiculous presentation of 21 year-old women with 0% body fat who are 6' tall as an "average" woman, but really, it is impossible to stop the overwhelming force of these companies and their thirst for sales.

If we didn't have this crap constantly thrown at us, I think people would be a lot less judgemental about outward appearance. Those people, the ones who want us to look perfect, they aren't worth the time of day, in my opinion. What matters is what is in our hearts.