Ultimately, in the original context of the fat guy story, it isn't so much the appearance as it is behavior that is problematic and people latched on to mostly the appearance and not the behavior. And as I've mentioned in my comment, some people don't seem to understand the nuances of a situation. Combine both together and you basically have the recipe for some of the bitter replies and downvotes found in these comments.
A woman has every right to be disgusted at that kind of behavior alone, before we even get into what she or society might think of fat old bald men. The same applies the other way around and however which way you want to organize the situation.
So again with my ideals (hopefully everyone including myself can work towards this goal!). Act like an asshole, you'll be treated like one. Act courteously, and be treated that way in return. Anyone that deviates from that is likely to be an asshole :P
As much as it may seem surprising to the group of HNers that are single men that have no luck with talking to women, I am a girl that has been rejected by plenty of guys in the past for not wearing much makeup (if at all), being obsessed with certain topics to the point of overkill, spending too much time on the computer and out-geeking them (that apparently really makes them feel less manly), being Asian (and not being of Japanese heritage...yes really), being in my early 20s, being fat...
Deal with it. For every guy that has a fat Asian fetish is a guy that wants to sleep with a size 0 blonde Caucasian girl. Being an old, fat, bald guy is not the end of the world.