Aesthetician should let you change anything except sex/race.

[Reinhardt_Azureheim]

Make him into a good old fashioned barber-surgeon!

Also plastic surgery existed all the way back in the ancient Roman times.

And surely Garland's Ironworks could produce some coloured lenses for the eyes.

Seriously though. Should not have needed fantasia for minor cosmetic changes. And pretty much everything in the customization list is exactly that.