First heard of in Ohio. Intended to be used as an insult to what a person looks like. Context used in a way which is a reflection of the speaker, not necessarily of the recipient. The nature of the speaker usually has a problem with concept. IE the speaker is a Fuck Head and there is a reason why you shouldn't fuck with some drugs.
After a fuck head put the crack pipe down, he went up to his Dad and said "Good Face", then proceeded to smoke his cock.