I'm playing in SV. Despite the ugly townies there, I don't make-over them all, unless they play an important role and even then I stay close to the original.
Except for Blair Wainwright. She has the guliest face ever.
I changed her facial features a bit and changed those ridiculous ponytails. She still looks a bit the same, she's easily recognizable, but is, in my opinion, de-uglified a lot. She simply doesn't look like a starving disabled pig anymore.
I didn't bother changing her clothes, I have a lot of stuff so it takes a while to load, and unless they are important and dressed terribly due to aging and store stuff, like Lisa née Bunch and VJ Alvi below (who are holding the children of respectively Ayesha Ansari and Tori Kimura for some reason)