You're a really good looking guy toddstratt --you'll look amazing after surgery. End of story. Don't worry, you just need to go to some pick-up bar on a friday night, get drunk, get girls drunk. "Hey would you like to do a shot with me?" is a great opening line and never gets a refusal if the barvibe is right and then well just chat with people about s**t you know. Most of the times the girl will move in for the kiss.
And remember for everyone it's a matter of probabilities keep chatting up chicks, get rejected, chat-up, rejection, etc. etc. until you hit the right one. Once that happens your confidence will go up and you'll be beter at it the next time. Picking up girls is like chess the more you practice the better you'll geet. You wouldn't have a nervous breakdown if the first time you played chess you got wasted would you? You would be like oh my god i'm so awful I can never do this blah blah. Same thing. Carpe diem.