I'm quite sure it is possible for someone to realise they are ugly and to be "at ease with it", meaning, they have made their peace with it, not that they are necessarily happy about it, otherwise ALL those ugly people - they DO exist, you surely realise that! - would be ending their lives left, right and centre, and while an individual death here and there might not make the news, hearing "Today, another 236 people have committed suicide. Some of them did leave a note, and most of those said "I can no longer live with looking the way I do. I feel I can never find love"" etc, etc., would certainly be hard to miss, so I'm pretty sure that's not happening.
The human mind has mechanisms to cope with such eventualities as considering oneself ugly. Sometimes, those mechanisms do fail, and those people do end their existence, but they are relatively few and far between. Other times, when those mechanisms fail, people resort to plastic surgery, or extreme selfie addiction, drug addiction and other aberrant behaviours.
Also, ALL those unattractive people who DO find partners and procreate (they do exist, we've all seen them) would never be doing that if they weren't "at ease" to some extent. Not to mention that for men, physical ugliness alone is in no way an impediment to finding sexual partners, as the standards and the social mechanics for attractiveness are different for them than for women - think of a boxer with a mashed-up face, for example.
"It's too late... Always has been, always will be...
Too late."
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