Social ugliness or mental illness?

This model is is beautiful. He is the epitome of the modern construct of
beauty. He is thin. His jaw firm, cheek bones strong and eyes that
pierce like stilletos on chipboard. Psychiatrists and therapists are the
photographers or the image makers of social 'beauty'.

A socially ugly person, for example someone with bipolar disorder, can
be given the equivalent of a paper bag for their 'ugliness' using mood
stabilisers. A "double bagger" (the andropist vernacular (aka misogynist
slang) for an ugly woman) could be given antipsychotics to make them
socially pretty so they don't scare people with the 'hideous' social
deformity of madness.

Their behaviours were deemed too much for society and the mentally ill,
like the Hunchback of Notre Dame, face either exclusion for their
ugliness or a chemical mask to cover their repulsiveness like that guy
in that film about someone with an iron mask. (apologies for the
misplaced pun there...it'll get cut in the edit) Psychology offers
alternatives to reshape the malformed into beautiful Adonis's like a
skilled cosmetic surgeon cutting away at the excess flesh and moulding
the abnormal into normal beauty, or the cosmetic surgeon doing
unnecessary surgery to make everyone look the same.

A repulsively physically ugly person will have worse outcomes in life
and were they born into a society even more vacuous than ours they may
suffer exclusion like the mad have suffered for their social ugliness.
The insanely ugly would be outcast by those who could not bear to look
at them. Cosmetic and plastic surgeons would be the psychiatrists
tending to the ill, i.e. those born with a physical 'illness' of
aesthetics that resulted in social and psychological impact in a time or
place that place very high social value on conformity to a physical ideal.

They would shape and reshape the ill and they would bring them back to
being normal so they could return to society, and all done in the name
of compassion. For the treatment resistant - the hideously ugly - there
would be novel and dangerous treatments available and the cosmetic
healthcare doctors would briefly wrangle over their ethics before
deciding to remove a person's face entirely, just as they might with
treating Siamese twins today.

But there is nothing wrong with being ugly because it is an irrelevant
judgement usually based on whatever nonsense notion is in the head of
the haute couture designers and fashion photographers of the day. The
valuation of physical beauty is a valueless judgement, though others may
see that lack of physical beauty or some sort of disformity does have a
strong negative impact. That's the curse of being mentally 'ill' or
physically 'ugly'.

The model in the photograph may be ugly to some. In a society of slack
jawed, obese and asymmetrical people he would be considered the freak.
That wouldn't mean he was one and it wouldn't mean he was ugly: its just
what the society at the time decided to label him.