Well, make up changes makes sense, given women in real world don't tattoo their lipstick eternally on their mouths. On the other hand, tattoos, if possible to add in game, could then be eternal, so as to make us choose carefully (and perhaps even add different styles of tattoo depending on the places you visit).
Although I don't mind much the make up being eternal, it's something feasible that I think ought to please people the more if possible added in due course.
As for this sudden change ... well, I'm not really bothered by it, but given I didn't and don't play with Sarah. What bothers me much is using a stunning model as basis to have her uglified, for any mystical social justicar reasons, in game. If they wanted ugly protagonists, I mean, not the same as the models chosen, then hire different people to be model. If they are so fond of being 'just', where are the chubby people in the game? Fat people? Super tall and scrawny? Midgets? Where are they?