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you can change your appearance later.
Hair colour and style.
Eye colour. Eye make up style and colour.
Lipstick colour, style and texture (matte, glossy, normal)
Nail colour and length.
Blusher, which includes freckles.
At the ripperdoc you can change
Tattoos (finally)
Face structure (eye shape, chin ect)
Skin type and shade
Big, standard or small chest size on female body
Type of undercarriage your V has (includes super glued underwear and Barbie option)
Scars, both face and body types. facial cyberware (appearance type not actual working cyberware)
Not sure if you can change voice type or body type tho.
And afaik, you can change everything you can change at the mirror, also at the ripperdoc.
Clothing merchants will also let you alter your 6 wardrobe presets.