How is Your Body Image Related to Puberty? As your body changes through puberty and your hormones change, your body does too. You start to get acne breakouts and more, this can really affect how you feel about how you look. Especially going through puberty you start to care more about how you look. You might want to go more to the gym or maybe you want to eat more. All of this effects your body image through puberty. Alright, let’s say you’re overweight and you hate it, you think negatively on your body image. What can you do, you have to think positively or make yourself feel good about what you look like, it's all in your head.