I’ve tried everything and I’m still depressed about being ugly - what do I do next?

I’ve spent a lot of time trying to move past the fact I’m ugly. I’ve tried affirmations (even subliminals), I have hobbies and skills, I have friends, I exercise, I always make sure I look put together. I’ve been in therapy. Even still, I’m extremely depressed about being ugly to the point I couldn’t get out of the house next week. What do I do to move past this? (Btw I’m a 26 year old woman)