For me it's exactly the same. I just can't accept that it's meant honest or with a good intention.
Things become even worse for me because often I just start laughing although I don't want to and people either think that I make fun of them or they can see how uncertain of myself I am and start talking about it: "it's really good, bla bla bla, be more self-consciousness of yourself bla bla bla".
In the last year I lost a lot of weight and when I meet people that I've not seen for a long time it's everytime the same: Girls at first don't recognize me and when I say: "Hey, it's me!" they are all eyes and when I get compliments I don't know what to say...mostly just "yes"