It's mostly women that are fixated on their outer appearance, worried about how they gained weight etc.
Men on the other hand don't worry about those things as much. I'm a good looking brother, and I don't think about my looks like that.
She has to understand that she used to run in pageants where it's mostly about beauty. And if she's now disfigured, the only type of dudes that'd probably give her a chance are ones that are less superficial, not all about looks and having a "trophy wife".
On some level I think she's just saying all that to feel better about her situation. How many women out here would trade being an 8.5/9 to be a 4??