Well it seems obvious. He's not a good looking person and he has been tortured by this his whole life. He admires it in other people which is understandable, but not only that...he finds it the single most desirous thing about a person. The whole value of a person is wrapped up in what they look like. It's not their personality , or how kind or good they are. Nor is it how funny, smart or talented they are. It's just how "HOT" the females are, or how "BIG" the guys are. People are dispensable after they are not "HOT" or "BIG". there's nothing interesting about them.
Remember when women used to walk in the studio when he was in his thirties and early to mid forties and say that they he was really hot and would bang him? Have you noticed no one has been saying that for the past several years and he doesn't even bring it up? He misses that attention from women. He is like an old woman, who is no longer getting attention from men because she got older and isn't willing to move on. His body dysphormic disorder is not helping the case. He is trying to fix his face with plastic surgery, but the surgery that is going to help him at this point has not been invented.