First of all, she's past her prime. She would look better if she were on her 20's or 30's.

She could also make the most out of her looks now if she had slightly longer hair, wore more makeup, and wore more femenine clothes.

Most people would look at least reasonably attractive if they ate right, exercised, dressed well, kept themselves clean, and took better care of themselves. Unfortunately, many people are unable or unwilling to do so, or don't know how to do it.