It can be absolutely anything from losing weight to surgery to eating something specific to a beauty product, an enhancement that you have done every few weeks .
I'm in my mid-30s, and I used to be an attractive woman in my late 20s. Then I caught COVID, and due to long-lasting neurological symptoms, it's really taken a toll on the way I look. I've tried small doses of everything, but perhaps I need to be more persistent with one thing. I do have a really good diet. I get blow dries weekly. Wear good quality makeup, etc., but I just feel I look like crap all the time.