Final answer:
Natalie may have a body dysmorphic disorder, which is characterized by excessive preoccupation with a perceived flaw in one's appearance.
Step-by-step explanation:
Natalie's preoccupation with the freckles on her nose, her belief that her nose is deformed and that she is ugly, and her extreme efforts to eliminate the freckles and save money for plastic surgery suggest that she may have a body dysmorphic disorder.
Body dysmorphic disorder is a psychological disorder characterized by an excessive preoccupation with a perceived defect in one's appearance, which is often unnoticeable to others. Individuals with this disorder may spend significant time and effort trying to hide or fix the perceived flaw, and it can significantly impact their daily functioning and well-being.
It is important for Mae to seek professional help for Natalie to receive an accurate diagnosis and appropriate treatment for her body dysmorphic disorder.