On the scaling issue, see this thread and see if anything can help. There are a couple of other threads out there too WRT scaling.
https://forums.ootpdevelopments.com/...d.php?t=345138
I too have both the bottom options on "High". My facegen zoom (the top one) is "In" but my profile picture zoom setting (the lower one) is "Normal". My angle is "Straight" but mostly, I suppose, because I am making facegens.
If you are playing an existing game, you may need to refresh the facegens as the fg file, once loaded onto a face (fictional included) stays in the cache as a temporary file. This can be done by player on the player editor page (auto-refresh) or en masse in the Game Settings.
EDIT: AESP beat me to the link post