built-in frown

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Senior Member
I didn’t have a squint like Huldah or a pinchy built-in frown like Shunammite, and I didn’t have barely-there eyebrows like Becka, but I was unfinished. I had a dough face, like the cookies my favourite Martha, Zilla, made for me as a treat, with raisin eyes and pumpkin-seed teeth.

The Testaments by Margaret Atwood

What does 'pinchy built-in frown' mean?
Does it mean that person was born with a frown?
Please help. Thank you.
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