Beauty and ugliness have a lot to do with heredity, which is given by your biological parents. You have no choice. In addition to heredity, the quality of physical fitness has a great relationship with the acquired exercise, diet, environment and whether you have suffered from a serious illness. Many things are not absolute. It is a manifestation of cause and effect in Buddhism that the landlord asks this question. In addition, the beauty and ugliness of appearance is a relative formulation, and the aesthetic standard changes at one time, and there is no absolute beauty and ugliness. In the eyes of westerners, oriental women are all beautiful women. Now if you are absolutely ugly, you can change your appearance through plastic surgery. If you are in poor health, you can pay more attention to scientific exercise and scientific diet. Don't worry about these things!
I wish you all happiness.