It depends! Normies and highly regarded members of our fucked up society (Chads, Stacies, millionaires, celebrities, etc) don't think like that.
Your whole argument is based on the presumption of someone who couldn't really ascend.
If you can REALLY ascend (looks wise, +7 and with some sort of social status like career, money) and you still look young in your 30s and 40s, maybe even in your early 50s, no one will give a shit about your past (teen years), because most people also hate their teen years; It's all a matter of, do they see you as a more powerful society member than they are?
People crave for that adulthood power and status and will do whatever they can to stay near you if they see you as a strong member of our society.
I saw that happening with a chadlite school mate of mine. He was a fat ass kid with braces and a lot of acne, probably uglier than I was back then, we were good friends because our ugliness made us equals at that moment of our lives, we just understood each other (our misery), so we were constantly playing videogames, exchanging sci-fi books and all the geek/nerd stuff, coping together, other kids were consistently making fun of our hideous looks, behavior and virginity.
While on college he somehow had the willpower to lose a ton of weight (+100 lbs) and looksmaxed (gym, roids, skin laser, tattoos... I even think that he did lipo and abdominoplasty, because his abs looked insane and he was a morbid obese years prior to that) and he received a ton of validation from bitches on college, that transformation took 3 years, he used that as a fuel and statusmaxed at his senior year, guess what? Women were throwing themselves at him, even some rich bitches. He was slaying and smartly decided to stay on university for more and more useless degrees, well, he got married to one of the most beautiful girl of his campus, he was early 30s and now he is doing his doctor's degrees and she is paying for that...
I am not saying this is the norm an we can all replicate that, au contraire, but If you can really ascend (physically and make a good money), you then can choose a happier life path later on, but yeah, most of us can't, because only a few here have problems that can be fixed through diet, surgery, procedures...