No head, but some system skins that are out there are very pretty with the mesh body if you can't afford the mesh head.
Also, remember if you buy a mesh head, you are going to need an applier for the head to match the mesh body skin for the Lara body.
Myself, I use the Catwa head with my Lara body, then I have the SLink hands and feet with it.
You will also find that you might need to find a neck fix if it doesn't blend properly.
Always use DEMO if you're not sure. Just because you see a skin you like, it will look differently on the shape.
Better to be safe, than sorry.
Especially with the BENTO heads and hands now out.
ALSO some tattoos might not work on a MESH head, so talk to the designer of the skins to see if they will work with you in case you do use a tattoo to the face.