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I have heard this is a conflict with Looks Menu and/or Hi Res Textures. Happens to me when I travel with Preston. I go all blackface. However I don't use Hi Res texture but do use Looks Menu.
I know this can happen with companions if you loaded from a save without quiting the game first. Like you hit "Esc" then "load" while in the game. When that happens you can just log out and then load from start of game that old save.
I have the Rusty face fix and it still happens at times.