In dreams, your body image can be a topic of concern personally or among the other dream characters. Only occasionally do these concerns accurately reflect actual physical attributes. More often, dreams of this nature may indicate paranoia about what others think of you. The central interpretive question is whether you pronounce yourself ugly or whether others impose it on you. Is your feeling of physical inadequacy due to a change in your waking life, such as being pregnant?

Other changes that may influence your body image include a shift in physical or moral behaviour, such as smoking, drinking, using drugs, becoming sexually active, or participating in sexual experiences you once considered taboo.

This dream is worth serious consideration as how we feel about our bodies is often a significant part of how we feel about ourselves overall as a person. If you are having recurring dreams of personal ugliness, then counselling for self-esteem or eating disorders may be worth considering.