Originally Posted by Nyloth

It was a joke, but actually I'm completely happy with Astarion's appearance and don't want to see him more "alien". And yes, if you change elves in character creator, you will probably have to change companions as well. I am absolutely against it.

Well, Larian can keep his appearance intact. They just need to make him human. It won't change much because, being a vampire spawn, he can live for a long time.