Basically, pick from a preset of noses, and then adjust the size and positioning. The customization in Oblivion svcked. Too many options that didn't make sense, some that didn't even do anything.
All the slider made sense to me. What did not make sense was how much they where tyed to each others limiting so much the possibilities for good or bad.
The firt succeffull mod for facial customization was one that loosened this ties. Making a character face was a little longer but you could definitly do something way worse or way better and above all more akin to what you intended/wished.