I gave up. All stock presets look like degenerates with genetic defects who live in their mother's basements and rape small animals as a hobby. There are a couple mods on Nexus that add in-game NPC faces to the preset list. MUCH nicer. I took someone who looked pretty good (I think it was Caesar), fiddled a little bit with minor features, stuck on some facial hair and ended up looking just about as tolerable as I wanted to. I dread the time I'll spend fiddling when I do a female playthrough.