here's my personal anecdote :
when i called goal, i looked skeletal and gaunt. many people told me so (which i found annoying), but more importantly, *i* thought i looked gaunt and skeletal.
fast forward about 1.5 years after that, and while i actually weighed 10+ lbs LESS than when i called goal, i looked waaaay healthier...and, dare i say, HOT. lol.
i was exercising regularly and my body didn't have that frail look to it, and my face gauntness filled in. granted i did also have plastics done: tummy tuck, breast lift and arm lift, but those procedures only took of 400g of weight off me, so says my doc.
fast forward another couple years (im 5+ years post op now), and while i still weigh 10+ lbs LESS than goal, i STILL look healthier now than those early days of maintenance. Mind you, i do look a lot "softer" now as i only exercise a fraction of what i used to do before.
I do think rapid weight loss does a number on one's looks in the short term, but i think most people will find that as time goes on, things move and settle a bit so we dont look so sickly.
(and yes, i can see my bones in places, lol)