In the US, depending on where you live, it is different. I mean in major cities, image is almost everything. In other states, I'm guessing it isn't as big.
I don't get your deal man. So what if you look like the elephant man? There are so many better things in life then hanging around in a big city wishing to the stars that you were handsomest twat on the lower east side. Fark. Go travelling. Do something. Find a life outside your own insecurities.
You are completely ridiculous.
Step outside and feel the bloody sunshine. Get a pet cat. MOVE AWAY from where you're living if it's so damn depressing.
It's all up to you champ.