In that one photo he looks, literally, like Lord Voldemort. That can't have helped his PR at all since I'm fairly sure newspapers were able to print photos by this point.
"Coming on the eve of the muckraking era, Rockefeller’s alopecia had a devastating effect on his image: It made him look like a hairless ogre, stripped of all youth, warmth, and attractiveness, and this played powerfully on people’s imaginations. For a time, he wore a black skullcap, giving him the impressively gaunt physiognomy of a Renaissance prelate. One French writer wrote that “under his silk skull-cap he seems like an old monk of the inquisition such as one sees in the Spanish picture galleries.” 46"
"Coming on the eve of the muckraking era, Rockefeller’s alopecia had a devastating effect on his image: It made him look like a hairless ogre, stripped of all youth, warmth, and attractiveness, and this played powerfully on people’s imaginations. For a time, he wore a black skullcap, giving him the impressively gaunt physiognomy of a Renaissance prelate. One French writer wrote that “under his silk skull-cap he seems like an old monk of the inquisition such as one sees in the Spanish picture galleries.” 46"