FCO by far is the best "next gen" skin mod for New Vegas. It adds in brand new races that are reimagined versions of the vanilla races and then some. It adds in new ghoul races which I think are far superior to the vanilla ghoul races and adds in races for specific characters like Boone, Caesar, and Cook-Cook. Right out the box, it is probably the best RACE mod for New Vegas.
Another great one is NVR3. It not only adds in new races but it also redesigns certain character faces to match their voice better. Like for instance, Lieutenant Romanowski. Listening to this guy while looking at his face is fucking glaring. He looks like someone that lives in Gilroy, California but sounds like he's from Compton.
Example: http://fallout.wikia.com/wiki/Romanowski
NVR3 redesigns his face so that he looks more suited for his voice(A.K.A make him a black guy since the character is voiced by a black guy). NVR3 also goes out of its way to redesign some of the more gruesome scenes in the game. Like for example, the inside of Nipton Town Hall looks trashed, but its dead victims look alright for being dead. NVR3 changes that by making the dead residents look like slaughtered meat. It is actually really gruesome, but it is supposed to convey the original message of what happened to Nipton.
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