do you think it's possible to genuinely be not-so-ugly and not know it? I really believe, think I SEE, that I am really horrific-looking - I'm not sure HOW this could be "mistaken". I suppose one could ask another person, but I'd be too ashamed.

*** ABSOLUTELTY!!! Yes it's possible. You have some self esteem/body image issues. I'm sure you are way I used to be, not able to take a compliment about one's pretty appearance. You don't have body dysmorphia but a warped sense of body awareness. Take pics of yourself and look at them till you like what you see. It's taken me years to love my rear end and my stomach. Just think of fasting and exercise, diet,etc. as improving upon God's perfection instead of getting rid of massive ugliness ;-)