Can an objectively deformed person have bdd about that deformity?

[livershapedbox]

I'm objectively deformed or whatever less mean sounding term people want to call it, so calling my reaction to it bdd has always seemed like toxic positivity bullshit. However I have recently realized that I have some very drastic fluctuations in how I feel about my deformed body and face, usually it looks repulsive and inhuman, but some days it just looks like a fairly common uglier than average woman (like the level of ugliness that doesn't always have to be a result of some medical problem and doesn't make you a total outcast, if that makes sense, huge improvement over my more usual perception of myself).
Does this mean I do have bdd or some other mental issue even though it's not a lie that my body and face are deformed to an extent? Like is my usual perception of it an exaggerated truth?