Smannesman: [...]
If you're saying my points boil down to that conclusion, that would be incorrect.
If however you're saying you feel it boils down to that, well that would be your opinion.
I don't want to indulge in any pettifoggery here,
what I am saying is that actually any Sith caring for his or her outer apperances could get pretty or at least less ugly if they chose so. Maybe even Malak could lose his resemblance to Zbigniew Krycsiwiki (Jaws the cool James Bond Villain) but he is to powerhungry to even remotely care.
Sometimes this isn't happening, as in their current mental state, some of the Darth's out there are simply batshit crazy, they maybe even use revolting appearance to shock and question general established views. Like those Emos are trying very hard with their stupid hairstyles.
I would argue that any Sith who wants to look pretty actually can look pretty.
Saying it was intended by George Lucas because Sith = Evil = Bad = Ugly is an unfair and far to easy way of an excuse. I don't accept that as an answer.
So they either look ugly because the force changed them (then why do some look pretty?) or because the chose to do so.
The reason why they chose to look ugly are probably interesting and might be worth of further discussion but the answers to TinyE's questions is straightforward:
Because they want to be ugly and disfigured