And that's a consequence they can live with. That's what TES is all about, consequences.
TES is about consequences? Honestly, I would put an emote here, but that is not my style.
Quite lame consequences: because one didn't want to spend the first hour with the game flapping through menus, he/she is forced to play with character that has unpleasant looking face.
I would be sad with such irrelevant consequences, where such bother can be explained with magic that is already in the game.
As a more serious note, Fallout 3 had facial alteration, and that makes way less sense there than in a world of high magic, so I am quite confident there will be some late game facial alteration. Even if someone thinks people have to live with these "consequences".
And about it not being in lore, how they can't make up lore for that? "Someday on these 200 years, some thought to use their healing magic to alter their appearance."
Tell me, is that too far fetched?