I never asked former providers of how they judge my looks because I consider myself natural beginning with 0 and ending with 10. I let them share most of their bullshit opinions. As we know the famous phrase "A man's junk is another man's gold." Similar principle here that a provider may consider an acned/pimpled face so handsome. I recalled meeting a provider the first time 5 years ago. She was frank with me saying I was fat (it was true with a big tummy at that time I was at 242 lbs). I am at 190 pounds now. I made a last visit with a provider not too long ago. She remembered the watermelon tummy back then and noticed flat tummy now, and did not say the rate between 0-10. I am natural regardless of scale between 0-10.