I think part of Elle's problem, and the reason she's so insecure, is she has a false image in her head of what she actually looks like and gets shocked when she sees the reality in photos/videos so then has to edit to the high heavens to resemble the image she has of what she looks like. It's body dysmorphia but in reverse to the usual type, in her head she's got this Barbie like figure with a tight waist and hourglass hips but in reality, she carries quite a lot of weight elsewhere too (which is absolutely fine). I think that's why she was so comfortable being pregnant because for once, the image in her head of what she looked like was actually accurate. It's such a shame, especially now she's started messing with her face as it's hard to recover from that.