Do you have ambition to live or retire abroad?
There's a very strong correlation between attractiveness and wealth. Rich people (and their kids) can afford health club fees, pilates, makeup, dental hygiene, plastic surgery, etc.
I grew up in a fairly well off part of Louisiana and we had like Miss Teen Louisiana for like 3 out of 4 years just after I left high school (two of them were sisters and the father was mayor). And they were pretty, but also kind of normal for the area.