She doesn't have much to work with. Can you imagine looking for clothes for a 300-pound dwarf? Well, except for Gnomex shirts.
Well now, that's not quite true.
There
are women with significant bodily defects (none here on conservativecave, though; everybody here's beautiful people to franksolich), some of them even worse than the oblate spheroid.
But they do little tricks and stuff that minimize the defect, ranging from a slight improvement in their looks clear to where the problem's not even noticed. I dunno what tricks they use, because I'm not a women's clothier or hair-dresser, but they do
something.
Vlada Mitty on the other hand
purposely goes out of her way to uglify herself, and I think it's her way of expressing her contempt for people.