I don't feel quite so ugly. I hated to see myself in photos and mirrors even though in hindsight I was quite good looking as a boy. But I'm a better looking woman as I keep telling myself. The difference being that I believe it more when presenting as female.
I have lately however been less concerned about the things that bothered me most of my life. Whether or not it's related to the fact that I have completely accepted my feminine self at this point, I don't know. It could be the other way around.