I'm not interested in women that don't care about my appearance or their own.
No shit. If I put in the effort to hit the gym and look a hell of a lot better than the average person, then I can expect and respect the same from them.
And if she is flat chested or had a big nose or something she cant control but otherwise takes care of herself and is a quality person - you are going to turn her away?
Fng immature and stupid beyond words.
Not really. But don't worry, there are plenty of ugly bastards out there willing to go out with your flat chested, big nosed, balding sister.

On a serious note, beauty has been sought after and desired for centuries not just in humans but throughout the animal kingdom as well. While the standards of "beauty" has changed over time (for humans), the pursuit of it has not. The good news for really ugly people is that while they may not be easy on the eyes, there are some ways to overcome the destiny of wallowing in the mud pit of ugliness with the rest of their caste level members. Having millions of dollars like Donald Trump or an enormous schlong like John Holmes will often provide one with a "free pass" to go past the velvet rope into the Beautiful Ones club that Mother Nature had decided to exclude them from.