Well they look waaay better than prostitutes!
I'm a girl and it inspires me to become healthy just to cosplay the women. (Even though I might not get to their super skinny lvl cause that's kinda dangerous for me but I want an excuse to actually wear their outfit!)
When you armor up your character, you can choose to make them look slutty or not. So not all females look like "Prostitutes".
And I don't know what you mean by wrinkles...I mean I guess it just makes the men look manly or mad. While the women (who don't have wrinkles) look calm and I don't know? Not ugly? It's different. It's all video games really....It's not reality.
Reality its different. Women can have wrinkles yet still look pretty in real life but in video games it kinda looks bad. Cause they are all just computer.
Sorry, I'm probably not explaining myself correctly. I am bad at explaining what I actually mean most of the time. So if anything offends you or confuses you. Nevermind.