I wish I could at all sympathize with this mentality.. I couldn't even begin to give advice on this. I find imperfections to be perfect in their own way.. there's no way I could love anyone for who they are or how they looked if I was so irrationally harsh on myself. It just doesn't translate in my head that *I* must be perfect but no one else is obligated to be perfect. I'm not. I won't be. Which I'm okay with, since perfect is a very slutty term. It can be used to describe anything and everything, and holds about as much water as a wire basket. A perfect specimen for one person is a disgusting creature to another. I don't let the people that find the specimen disgusting overshadow the people that find it perfect.. because if they don't see the perfection in it, they probably aren't meant to, and thus their opinions won't count the same way.
/rant.
My point is, bad jokes have worked in the past, and absolute silence is sometimes reassuring for me. I couldn't care less if my doctor judges me, only if they do what I'm paying them to do correctly. I'm not going to get with my doctor anytime soon, so it just doesn't weigh anything in my mind. What I CAN assure you of.. is that whatever it is you do/dont have, look/lack, they've seen someone less attractive and more attractive than you. You probably won't stick out at all aside the actual job. I'm just a student.. and I'm already pretty numb to things most people consider 'gross'.