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In order to install this, you must have a character whose face you are willing to replace. You also need to have Gibbed's Mass Effect 2 save editor (link provided in requirements).
For XP users, go to...
X - My computer - Program Files - Mass Effect 2 - BioGame - Config - PC - Cooked - Gibbed.MassEffect2.SaveEdit and open the file. (X is the drive you installed Mass Effect on).
In the program, go to open and look for the save of the character whose face you wish to replace and open the save file.
From there, go to the Toolbox section of the editor and go to import. Then look for this .me2headmorph file wherever you have it extracted. Once selected, open it and once back in the main screen of the editor, save the file as a save (preferably as a new save, but in the same character's profile). Then start up your game and it should work automatically.