There are sex clubs in some places and countries, Germany to name one, where clients/customers only meet one another in total darkness.  Then again, for the really intrepid, there exist clubs as (more or less) depicted in a fantasy sequence in the 1999 Catherine Breillat film "Romance." 

But probably Tita Girl has the right of it - although as the 2003 film "Monster" starring Charlize Theron and Christina Ricci proved in a bass-ackward sort of way, good makeup can do wonders.