Fallout 2 and New Vegas have implants and Fallout 3 has the Cyborg perk. Considering that Fallout 4 has the Institute, then it is an almost certainty that Implants will be in the game. While all the implants and cyborg perks in previous Fallout games are internal rather than external, there is the Fallout 2 implants where the upgraded versions causes a -1 to Charisma due to scars. Do you think that some of the implants will change the appearance of the Sole Survivor, cybernetic implants that cause a change to the appearance of the Sole Survivor are in the Extras tab of the Character Creation system, or there is no way to add cybernetic implants that change your appearance unless mods are used?