Hi @justin_renfro Can you try redoing the setup from scratch and this time generate blendShapes before applying the A2F Pipeline? The latest A2F has a bug where blendShapes are wrong if you apply A2F pipeline before generating them.
Also make sure to set the BlendShape solver weights values to 0.01 to compensate for the scale change between Blender and A2F.
For the eyes, make sure to set the eye meshes are selected and Pivot is set to Compute from Selected Mesh.
