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There are different types of attractiveness. I would doubt that she thinks that she has a flabby butt and mummy skin, but, much as happens with rich people who are not 100% sure about their friends, a girl who has been sexy/attractive her whole life will have doubts about her underlying quality.
Most people aren't so attractive that others will hang around even if they don't like them. But when it comes to a sexy woman, most men will put up with all kinds of bs to get laid, regardless of what they think of her. The less cognitively developed among that group of gals turns that to their advantage and ends up developing such a nasty personality that even Cesar Millan might struggle to set her straight.
But the more introspective question their relationships and look to find out if the guy really cares for them underneath the surface. In such a case, she would probably be more convinced, though not necessarily more receptive outwardly, by compliments about her personality, intelligence, and soul. Those are the essence of a person, the rest being our good old meat suit.
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